Mr Alexander Peguero-medrano, NP - Medicare Nurse Practitioner in Stony Brook, NY

Mr Alexander Peguero-medrano, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Stony Brook, New York. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Stony Brook Psychiatric Associates University Faculty Practice Corpor and his current practice location is 169 Putnam Hall, Stony Brook, New York. You can reach out to his office (for appointments etc.) via phone at (631) 632-9510.

Mr Alexander Peguero-medrano is licensed to practice in New York (license number 402196) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1033647623.

Contact Information

Mr Alexander Peguero-medrano, NP
169 Putnam Hall,
Stony Brook, NY 11794-3240
(631) 632-9510
(631) 632-5870



Provider's Profile

Full NameMr Alexander Peguero-medrano
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location169 Putnam Hall, Stony Brook, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Alexander Peguero-medrano graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1033647623
  • Provider Enumeration Date: 05/26/2017
  • Last Update Date: 12/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5799030920
  • Enrollment ID: I20180612001836

Medical Identifiers

Medical identifiers for Mr Alexander Peguero-medrano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033647623NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 402196 (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. Mr Alexander Peguero-medrano allows following entities to bill medicare on his behalf.
Entity NameStony Brook Psychiatric Associates University Faculty Practice Corpor
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437105905
PECOS PAC ID: 7315836731
Enrollment ID: O20040313000174

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Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

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Entity NameApm Nurse Practitioner In Psychiatry
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982314035
PECOS PAC ID: 7416320064
Enrollment ID: O20230301000458

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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. Mr Alexander Peguero-medrano 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
Mr Alexander Peguero-medrano, NP
Po Box 1559,
Stony Brook, NY 11790-0989

Ph: (631) 632-9510
Mr Alexander Peguero-medrano, NP
169 Putnam Hall,
Stony Brook, NY 11794-3240

Ph: (631) 632-9510

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› Verified 6 days ago


Nurse Practitioner Nurses in Stony Brook, NY

Mrs. Heather Marie Caligiuri, ANP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794
Phone: 631-631-4449    
Mr. Sam Tarik Mendoune I, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794
Phone: 631-335-1657    
Kevin Ramdeen, AGPCNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794
Phone: 631-312-6354    
Mrs. Patricia B Meyer, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1212 Route 25a, Stony Brook, NY 11790
Phone: 631-941-1388    Fax: 631-689-3993
Mrs. Marie Oquendo-miller, MSNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1 Stadium Road, Stony Brook, NY 11794
Phone: 631-632-6738    Fax: 631-632-6936
Michael Christopher Parrinello, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: Suny At Stony Brk, Stony Brook, NY 11794
Phone: 631-444-2701    
Mrs. Joanne M Camarda, PNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 101 Nicolls Rd Fl Hsc11, Stony Brook, NY 11794
Phone: 631-444-7720    Fax: 631-444-7865

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