Roberta Countryman, FNP in Syracuse, NY - Medicare Nurse Practitioner

Roberta Countryman, FNP is a medicare enrolled "Nurse Practitioner - Family" in Syracuse, New York. Her current practice location is 3709 Erie Blvd E, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 251-2244.

Roberta Countryman is licensed to practice in New York (license number F349152-01) 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 1295441640.

Contact Information

	Roberta Countryman, FNP
	3709 Erie Blvd E, Syracuse, NY 13214-2227
	(315) 251-2244
	Not Available

Map and Direction

Provider's Profile

Full Name	Roberta Countryman
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3709 Erie Blvd E, Syracuse, 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: 1295441640
Provider Enumeration Date: 01/30/2023
Last Update Date: 01/30/2023

Medicare PECOS Information:

PECOS PAC ID: 7911372982
Enrollment ID: I20230404002177

Medical Identifiers

Medical identifiers for Roberta Countryman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295441640	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F349152-01 (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. Roberta Countryman allows following entities to bill medicare on her behalf.

Entity Name	Kudos Medical Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801303532 PECOS PAC ID: 4183962616 Enrollment ID: O20190208000192

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. Roberta Countryman 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
Roberta Countryman, FNP 4228 Pisces Cir, Liverpool, NY 13090-1342 Ph: (131) 527-8823	Roberta Countryman, FNP 3709 Erie Blvd E, Syracuse, NY 13214-2227 Ph: (315) 251-2244

Reviews and Comments

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Janice M Agen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 90 Presidential Plz, 3rd Floor, Syracuse, NY 13202 Phone: 315-464-5210 Fax: 315-464-2141
Irene S Borja, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7111
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Michele Rene Mcdonald, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Irving Ave, Syracuse, NY 13210 Phone: 315-425-4400
Nicole Marie Voudren, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-254-6914 Fax: 315-464-8524
Mary Jean Thomas, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7111
Frances I Swiecki, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 90 Presidential Plz, 5th Floor, Syracuse, NY 13202 Phone: 315-464-9335 Fax: 315-464-9338

Roberta Countryman, FNP - Medicare Nurse Practitioner in Syracuse, NY