Marilyn F Conner, CANP in Coram, NY - Medicare Nurse Practitioner

Marilyn F Conner, CANP is a medicare enrolled "Nurse Practitioner - Adult Health" in Coram, New York. Her current practice location is 82 Middle Country Road, The Elsie Owens N Brookhaven Health Center At Coram, Coram, New York. You can reach out to her office (for appointments etc.) via phone at (631) 854-2301.

Marilyn F Conner is licensed to practice in New York (license number F3007001) 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 1316041528.

Contact Information

	Marilyn F Conner, CANP
	82 Middle Country Road, The Elsie Owens N Brookhaven Health Center At Coram, Coram, NY 11727
	(631) 854-2301
	(631) 854-2104

Map and Direction

Provider's Profile

Full Name	Marilyn F Conner
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	82 Middle Country Road, Coram, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316041528
Provider Enumeration Date: 09/08/2006
Last Update Date: 06/13/2013

Medicare PECOS Information:

PECOS PAC ID: 8527032895
Enrollment ID: I20040823000850

Medical Identifiers

Medical identifiers for Marilyn F Conner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316041528	NPI	-	NPPES
01770245	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	F3007001 (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. Marilyn F Conner allows following entities to bill medicare on her behalf.

Entity Name	John T Mather Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932296316 PECOS PAC ID: 1254237753 Enrollment ID: O20040316000754

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. Marilyn F Conner 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
Marilyn F Conner, CANP 75 N Country Rd, John T Mather Hospital, Port Jefferson, NY 11777-2119 Ph: (631) 476-2715	Marilyn F Conner, CANP 82 Middle Country Road, The Elsie Owens N Brookhaven Health Center At Coram, Coram, NY 11727 Ph: (631) 854-2301

Reviews and Comments

Nurse Practitioner Nurses in Coram, NY

Susan Hamill, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 82 Middle Country Rd, Elsie Owens Health Center - Hrhcare, Inc., Coram, NY 11727 Phone: 631-320-2200 Fax: 631-698-8570
Thao Nguyen, NPP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12 Fairwood Ln, Coram, NY 11727 Phone: 631-318-4004 Fax: 631-318-6443
Mrs. Janet Audrey Stone, NP, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 82 Middle Country Rd, Elsie Owens Health Center - Hrhcare, Inc., Coram, NY 11727 Phone: 631-320-2220 Fax: 631-698-3570
Ms. Ada Lisette Leon, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 49 Wilmont Turn, Coram, NY 11727 Phone: 917-513-1386
Mr. Cameron Gittens, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2208 Townehouse Dr, Coram, NY 11727 Phone: 631-681-1102
Mrs. Elizabeth Ratnamala Benjamin, NURSE PRACTIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3600 Route 112, Coram, NY 11727 Phone: 631-920-8500 Fax: 631-920-8501

Marilyn F Conner, CANP - Medicare Nurse Practitioner in Coram, NY