Ms Susan Marta Delisle, ANP, PMHNP - Medicare Nurse Practitioner in New York, NY

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Ms Susan Marta Delisle, ANP, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in New York, New York. Her current practice location is 516 W 168th St Fl 1, New York, New York. You can reach out to her office (for appointments etc.) via phone at (122) 326-5705.

Ms Susan Marta Delisle is licensed to practice in New York (license number 402436) 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 1427078153.

Contact Information

Ms Susan Marta Delisle, ANP, PMHNP
516 W 168th St Fl 1,
New York, NY 10032-4103
(122) 326-5705
Not Available

Map and Direction




Provider's Profile

Full NameMs Susan Marta Delisle
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location516 W 168th St Fl 1, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427078153
  • Provider Enumeration Date: 07/19/2006
  • Last Update Date: 01/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5193723518
  • Enrollment ID: I20061120000279

Medical Identifiers

Medical identifiers for Ms Susan Marta Delisle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427078153NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health F304323-1 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 402436 (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. Ms Susan Marta Delisle allows following entities to bill medicare on her behalf.
Entity NameTrustees Of Columbia University In The City Of New York
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437176047
PECOS PAC ID: 6002715794
Enrollment ID: O20031231000637
Entity NameThe Trustees Of Columbia University In The City Of New York
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265598783
PECOS PAC ID: 4688772395
Enrollment ID: O20070604000623
Entity NameTrustees Of Columbia University In The City Of New York
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508266347
PECOS PAC ID: 8527972546
Enrollment ID: O20151201002613

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. Ms Susan Marta Delisle 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 AddressPractice Location Address
Ms Susan Marta Delisle, ANP, PMHNP
516 W 168th St Fl 1,
New York, NY 10032-4103

Ph: (122) 326-5705		Ms Susan Marta Delisle, ANP, PMHNP
516 W 168th St Fl 1,
New York, NY 10032-4103

Ph: (122) 326-5705

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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