Vanessa Nicole Canosa, PA-C is a medicare enrolled "Physician Assistant" in Waldwick, New Jersey. Her current practice location is
140 Franklin Tpke, Waldwick, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 447-3603.
Vanessa Nicole Canosa is licensed to practice in New Jersey (license number 25MP00400700) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1598210320.
Provider's Profile
| Full Name | Vanessa Nicole Canosa |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 140 Franklin Tpke, Waldwick, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1598210320
- Provider Enumeration Date: 08/22/2016
- Last Update Date: 08/22/2016
Medicare PECOS Information:
- PECOS PAC ID: 5698054997
- Enrollment ID: I20161109000561
Medical Identifiers
Medical identifiers for Vanessa Nicole Canosa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598210320 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 25MP00400700 (New Jersey) | Primary |
| 363A00000X | Physician Assistant | 019770-1 (New York) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vanessa Nicole Canosa is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Vanessa Nicole Canosa, PA-C
140 Franklin Tpke,
Waldwick, NJ 07463-1847
Ph: () - | Vanessa Nicole Canosa, PA-C
140 Franklin Tpke,
Waldwick, NJ 07463-1847
Ph: (201) 447-3603 |
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