Mrs Shannon D Marzullo, ANP in Buffalo, NY - Medicare Nurse Practitioner

Mrs Shannon D Marzullo, ANP is a medicare enrolled "Nurse Practitioner - Adult Health" in Buffalo, New York. Her current practice location is 50 Lakefront Blvd, Suite 130, Buffalo, New York. You can reach out to her office (for appointments etc.) via phone at (716) 849-8750.

Mrs Shannon D Marzullo is licensed to practice in New York (license number F305322-1) 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 1215250279.

Contact Information

	Mrs Shannon D Marzullo, ANP
	50 Lakefront Blvd, Suite 130, Buffalo, NY 14202-4345
	(716) 849-8750
	(716) 849-8757

Map and Direction

Provider's Profile

Full Name	Mrs Shannon D Marzullo
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	50 Lakefront Blvd, Buffalo, 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: 1215250279
Provider Enumeration Date: 03/04/2010
Last Update Date: 02/11/2019

Medicare PECOS Information:

PECOS PAC ID: 0749423010
Enrollment ID: I20130905000727

Medical Identifiers

Medical identifiers for Mrs Shannon D Marzullo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215250279	NPI	-	NPPES
03600295	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	F305322-1 (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. Mrs Shannon D Marzullo allows following entities to bill medicare on her behalf.

Entity Name	Family Choice Of New York Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720312754 PECOS PAC ID: 1355615477 Enrollment ID: O20170927003380

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. Mrs Shannon D Marzullo 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
Mrs Shannon D Marzullo, ANP 3332 Walden Ave, Ste 110, Depew, NY 14043-2400 Ph: (716) 849-8750	Mrs Shannon D Marzullo, ANP 50 Lakefront Blvd, Suite 130, Buffalo, NY 14202-4345 Ph: (716) 849-8750

Reviews and Comments

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Mrs Shannon D Marzullo, ANP - Medicare Nurse Practitioner in Buffalo, NY