Mary Ellen Brown, FNP in Lackawanna, NY - Medicare Nurse Practitioner

Mary Ellen Brown, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lackawanna, New York. Her current practice location is 2600 Southpark Avenue, Lackawanna, New York. You can reach out to her office (for appointments etc.) via phone at (716) 822-2028.

Mary Ellen Brown is licensed to practice in New York (license number F335096-1) 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 1073794814.

Contact Information

	Mary Ellen Brown, FNP
	2600 Southpark Avenue, Lackawanna, NY 14218-1504
	(716) 822-2028
	(716) 822-2029

Map and Direction

Provider's Profile

Full Name	Mary Ellen Brown
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2600 Southpark Avenue, Lackawanna, 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: 1073794814
Provider Enumeration Date: 11/20/2007
Last Update Date: 04/06/2017

Medicare PECOS Information:

PECOS PAC ID: 7810076668
Enrollment ID: I20080505000466

Medical Identifiers

Medical identifiers for Mary Ellen Brown such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073794814	NPI	-	NPPES
00028208101	Other	NY	UNIVERA
000529830001	Other	NY	BLUE CROSS
01075516	Medicaid	NY
9514408	Other	NY	INDEPENDENT HEALTH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F335096-1 (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. Mary Ellen Brown allows following entities to bill medicare on her behalf.

Entity Name	Buffalo Medical Group, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881659506 PECOS PAC ID: 7012820301 Enrollment ID: O20031112000213

Entity Name	Wny Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154421246 PECOS PAC ID: 9335191733 Enrollment ID: O20050214000821

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. Mary Ellen Brown 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
Mary Ellen Brown, FNP 2600 Southpark Avenue, Lackawanna, NY 14218-1504 Ph: (716) 822-2028	Mary Ellen Brown, FNP 2600 Southpark Avenue, Lackawanna, NY 14218-1504 Ph: (716) 822-2028

Reviews and Comments

Nurse Practitioner Nurses in Lackawanna, NY

Katie Cauley, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 790 Ridge Rd, Lackawanna, NY 14218 Phone: 716-828-9500
Lynnda Ohara, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 227 Ridge Rd, Lackawanna, NY 14218 Phone: 716-822-5944 Fax: 716-828-3937
Gina Fulater, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Melroy Ave, Lackawanna, NY 14218 Phone: 716-675-9724
June Marie Telaak, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15 Melroy Ave, Lackawanna, NY 14218 Phone: 716-549-4724 Fax: 716-821-0568
Yasmin Saif, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 67 Goodrich Rd, Lackawanna, NY 14218 Phone: 716-228-2290

Mary Ellen Brown, FNP - Medicare Nurse Practitioner in Lackawanna, NY