Mrs Susie Marie Avery, APRN in Galesburg, IL - Medicare Nurse Practitioner

Mrs Susie Marie Avery, APRN is a medicare enrolled "Nurse Practitioner - Family" in Galesburg, Illinois. Her current practice location is 1887 Sunset Dr, Galesburg, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 371-9300.

Mrs Susie Marie Avery is licensed to practice in Arizona (license number AP10890) 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 1043709660.

Contact Information

	Mrs Susie Marie Avery, APRN
	1887 Sunset Dr, Galesburg, IL 61401-8531
	(309) 371-9300
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Susie Marie Avery
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1887 Sunset Dr, Galesburg, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043709660
Provider Enumeration Date: 05/09/2018
Last Update Date: 05/09/2018

Medicare PECOS Information:

PECOS PAC ID: 7719221589
Enrollment ID: I20181205000818

Medical Identifiers

Medical identifiers for Mrs Susie Marie Avery such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043709660	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209.017133 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	AP10890 (Arizona)	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 Susie Marie Avery allows following entities to bill medicare on her behalf.

Entity Name	In Home Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497087175 PECOS PAC ID: 3779612395 Enrollment ID: O20100520000116

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 Susie Marie Avery 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 Susie Marie Avery, APRN 1887 Sunset Dr, Galesburg, IL 61401-8531 Ph: (309) 371-9300	Mrs Susie Marie Avery, APRN 1887 Sunset Dr, Galesburg, IL 61401-8531 Ph: (309) 371-9300

Reviews and Comments

Nurse Practitioner Nurses in Galesburg, IL

Melissa Hajostek, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 Fax: 309-344-2405
Sharon L Marguglio, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 695 N Kellogg St, Galesburg, IL 61401 Phone: 309-343-5114
Jessica Logan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2779 Volunteer Dr Ste 201, Galesburg, IL 61401 Phone: 309-345-9400 Fax: 309-345-9401
Shannon L Egan, APRN,CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000
Miss Monica Lynn Interial, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1377 W Main St, Galesburg, IL 61401 Phone: 773-641-8904
Bethany Mcgraw, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000

Mrs Susie Marie Avery, APRN - Medicare Nurse Practitioner in Galesburg, IL