Susan Andrea, NP in Brockton, MA - Medicare Nurse Practitioner

Susan Andrea, NP is a medicare enrolled "Nurse Practitioner - Family" in Brockton, Massachusetts. Her current practice location is 111 Torrey St, Suite A, Brockton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 588-1200.

Susan Andrea is licensed to practice in Massachusetts (license number 149570) 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 1902966039.

Contact Information

	Susan Andrea, NP
	111 Torrey St, Suite A, Brockton, MA 02301-4800
	(508) 588-1200
	(508) 941-0497

Map and Direction

Provider's Profile

Full Name	Susan Andrea
Gender	Female
Speciality	Nurse Practitioner - Family
Location	111 Torrey St, Brockton, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902966039
Provider Enumeration Date: 12/11/2006
Last Update Date: 11/04/2016

Medicare PECOS Information:

PECOS PAC ID: 1153354469
Enrollment ID: I20050916000561

Medical Identifiers

Medical identifiers for Susan Andrea such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902966039	NPI	-	NPPES
0712604	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	149570 (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. Susan Andrea allows following entities to bill medicare on her behalf.

Entity Name	Bethel Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861607558 PECOS PAC ID: 4688576721 Enrollment ID: O20040121000327

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. Susan Andrea 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
Susan Andrea, NP 111 Torrey St, Suite A, Brockton, MA 02301-4800 Ph: (508) 588-1200	Susan Andrea, NP 111 Torrey St, Suite A, Brockton, MA 02301-4800 Ph: (508) 588-1200

Reviews and Comments

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Susan Andrea, NP - Medicare Nurse Practitioner in Brockton, MA