Vedalie Souvenance, NP - Medicare Nurse Practitioner in Queens Village, NY

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Vedalie Souvenance, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Queens Village, New York. Her current practice location is 21229 Hillside Ave Apt 3je, Queens Village, New York. You can reach out to her office (for appointments etc.) via phone at (917) 825-0930.

Vedalie Souvenance is licensed to practice in New York (license number F311426-01) 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 1407455884.

Contact Information

Vedalie Souvenance, NP
21229 Hillside Ave Apt 3je,
Queens Village, NY 11427-1851
(917) 825-0930
Not Available

Map and Direction




Provider's Profile

Full NameVedalie Souvenance
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location21229 Hillside Ave Apt 3je, Queens Village, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407455884
  • Provider Enumeration Date: 10/18/2020
  • Last Update Date: 11/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0244766111
  • Enrollment ID: I20241216002725

Medical Identifiers

Medical identifiers for Vedalie Souvenance such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407455884NPI-NPPES
784731-01OtherNYNURSING LICENSE
F311426-01OtherNYNP LICENSE
F311426-01MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health F311426-01 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Vedalie Souvenance allows following entities to bill medicare on her behalf.
Entity NameIlm Medical Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023442035
PECOS PAC ID: 2769610989
Enrollment ID: O20140312001236

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. Vedalie Souvenance 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 AddressPractice Location Address
Vedalie Souvenance, NP
1266 Dekoven St,
Rockville Centre, NY 11570-3402

Ph: (917) 825-0930		Vedalie Souvenance, NP
21229 Hillside Ave Apt 3je,
Queens Village, NY 11427-1851

Ph: (917) 825-0930

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.