Carly Detor, NP in Syracuse, NY - Medicare Nurse Practitioner

Carly Detor, NP is a medicare enrolled "Nurse Practitioner" in Syracuse, New York. She went to State University Of Ny Upstate Medical University and graduated in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Josephs Medical Pc and her current practice location is 104 Union Ave, Suite 1001-1002, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 423-7192.

Carly Detor is licensed to practice in New York (license number 339796) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114303278.

Contact Information

	Carly Detor, NP
	104 Union Ave, Suite 1001-1002, Syracuse, NY 13203-1843
	(315) 423-7192
	(315) 423-8013

Map and Direction

Provider's Profile

Full Name	Carly Detor
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	104 Union Ave, Syracuse, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carly Detor attended and graduated from State University Of Ny Upstate Medical University in 2015

NPI Data:

NPI Number: 1114303278
Provider Enumeration Date: 07/30/2015
Last Update Date: 07/30/2015

Medicare PECOS Information:

PECOS PAC ID: 0042528523
Enrollment ID: I20151002000558

Medical Identifiers

Medical identifiers for Carly Detor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114303278	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	339796 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph's Hospital Health Center	Syracuse, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Josephs Medical Pc	4688855844	300

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. Carly Detor allows following entities to bill medicare on her behalf.

Entity Name	St Josephs Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942501747 PECOS PAC ID: 4688855844 Enrollment ID: O20110221000744

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. Carly Detor 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
Carly Detor, NP 104 Union Ave, Suite 1001-1002, Syracuse, NY 13203-1843 Ph: (315) 423-7192	Carly Detor, NP 104 Union Ave, Suite 1001-1002, Syracuse, NY 13203-1843 Ph: (315) 423-7192

Reviews and Comments

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Carly Detor, NP - Medicare Nurse Practitioner in Syracuse, NY