Sally P Siu, CNP in Worcester, MA - Medicare Nurse Practitioner

Sally P Siu, CNP is a medicare enrolled "Nurse Practitioner" in Worcester, Massachusetts. Her current practice location is 55 Lake Ave N, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (774) 441-6500.

Sally P Siu is licensed to practice in Massachusetts (license number RN238053) 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 1255528162.

Contact Information

	Sally P Siu, CNP
	55 Lake Ave N, Worcester, MA 01655-0002
	(774) 441-6500
	(508) 421-1085

Map and Direction

Provider's Profile

Full Name	Sally P Siu
Gender	Female
Speciality	Nurse Practitioner
Location	55 Lake Ave N, Worcester, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255528162
Provider Enumeration Date: 09/25/2007
Last Update Date: 05/24/2016

Medicare PECOS Information:

PECOS PAC ID: 4082923743
Enrollment ID: I20151020000435

Medical Identifiers

Medical identifiers for Sally P Siu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255528162	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	238053 (Massachusetts)	Secondary
163WC0200X	Registered Nurse - Critical Care Medicine	238053 (Massachusetts)	Secondary
363L00000X	Nurse Practitioner	RN238053 (Massachusetts)	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. Sally P Siu allows following entities to bill medicare on her behalf.

Entity Name	Bostons Community Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235174418 PECOS PAC ID: 1355390691 Enrollment ID: O20050113000756

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. Sally P Siu 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
Sally P Siu, CNP Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885	Sally P Siu, CNP 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (774) 441-6500

Reviews and Comments

Nurse Practitioner Nurses in Worcester, MA

Ms. Eileen A. Duhamel, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Department Of Radiology, Worcester, MA 01655 Phone: 508-334-2710
Erin Marie Bednarek, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 33 Kendall St, Worcester, MA 01605 Phone: 508-334-6255 Fax: 508-334-6063
Natalia Alexandrovna Kottler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26 Queen Street, Worcester, MA 01610 Phone: 508-860-7800
Kristen M Derosa, NNP-BC, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 416 Belmont St, Worcester, MA 01604 Phone: 508-756-6609
Dr. Laura Marie Knight, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-442-2761
Ms. Colette Julia O'connor, ACNPC-AG Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-443-7552
Sandra Bellini, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 119 Belmont St, Worcester, MA 01605 Phone: 508-334-6470

Sally P Siu, CNP - Medicare Nurse Practitioner in Worcester, MA