Mrs Suellen Elmendorf, FNP is a medicare enrolled "Nurse Practitioner - Family" in Olivebridge, New York. Her current practice location is
230 Crispell Rd, Olivebridge, New York. You can reach out to her office (for appointments etc.) via phone at
(845) 657-6532.
Mrs Suellen Elmendorf is licensed to practice in New York (license number F336062-1) 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 1851617880.
Provider's Profile
| Full Name | Mrs Suellen Elmendorf |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 230 Crispell Rd, Olivebridge, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1851617880
- Provider Enumeration Date: 04/15/2010
- Last Update Date: 11/10/2011
Medicare PECOS Information:
- PECOS PAC ID: 9032354584
- Enrollment ID: I20130404000107
Medical Identifiers
Medical identifiers for Mrs Suellen Elmendorf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851617880 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | F336062-1 (New York) | Primary |
| 163W00000X | Registered Nurse | 345540 (New York) | Secondary |
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 Suellen Elmendorf allows following entities to bill medicare on her behalf.
| Entity Name | Westchester Medical Center Advanced Physician Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912131392
PECOS PAC ID: 3173660776
Enrollment ID: O20091031000042 |
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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. Mrs Suellen Elmendorf 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 Suellen Elmendorf, FNP
230 Crispell Rd,
Olivebridge, NY 12461-5446
Ph: (845) 657-6532 | Mrs Suellen Elmendorf, FNP
230 Crispell Rd,
Olivebridge, NY 12461-5446
Ph: (845) 657-6532 |
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