Ms Susan Ruth Waterbury, NP in Melbourne, FL - Medicare Nurse Practitioner

Ms Susan Ruth Waterbury, NP is a medicare enrolled "Nurse Practitioner - Family" in Melbourne, Florida. Her current practice location is 1495 N Harbor City Blvd, Melbourne, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 253-0846.

Ms Susan Ruth Waterbury is licensed to practice in Florida (license number APRN2116242) 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 1508824699.

Contact Information

	Ms Susan Ruth Waterbury, NP
	1495 N Harbor City Blvd, Melbourne, FL 32935-6572
	(321) 253-0846
	(321) 253-1004

Map and Direction

Provider's Profile

Full Name	Ms Susan Ruth Waterbury
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1495 N Harbor City Blvd, Melbourne, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508824699
Provider Enumeration Date: 05/01/2006
Last Update Date: 01/31/2024

Medicare PECOS Information:

PECOS PAC ID: 5698808939
Enrollment ID: I20100806000240

Medical Identifiers

Medical identifiers for Ms Susan Ruth Waterbury such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508824699	NPI	-	NPPES
303783500	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	314100168 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	0001251055 (Virginia)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN2116242 (Florida)	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 Ruth Waterbury allows following entities to bill medicare on her behalf.

Entity Name	Unconditional Love Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265455133 PECOS PAC ID: 4385679026 Enrollment ID: O20050930000278

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 Ruth Waterbury 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
Ms Susan Ruth Waterbury, NP 1495 N Harbor City Blvd, Melbourne, FL 32935-6572 Ph: (321) 253-0846	Ms Susan Ruth Waterbury, NP 1495 N Harbor City Blvd, Melbourne, FL 32935-6572 Ph: (321) 253-0846

Reviews and Comments

Nurse Practitioner Nurses in Melbourne, FL

Mrs. Dawn P Hamel, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2290 W Eau Gallie Blvd, Melbourne, FL 32935 Phone: 321-435-1505 Fax: 321-426-7446
Mrs. Stephanie Louise Battaglini, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St Ste 102, Melbourne, FL 32901 Phone: 321-434-3452 Fax: 321-434-3456
Tiffani Davidson, APRN, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr Ste 2e, Melbourne, FL 32901 Phone: 321-361-5564
William Brandon Evans, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771
Stacyann Stephens, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2626 Florencia Pl, Melbourne, FL 32940 Phone: 305-338-5141
Cynthia Parsons Hall, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1335 Valentine St, Melbourne, FL 32901 Phone: 321-586-5444 Fax: 321-586-5444
Michele Anne Mccarthy-lavish, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr, Melbourne, FL 32901 Phone: 321-549-0752 Fax: 321-952-2330

Ms Susan Ruth Waterbury, NP - Medicare Nurse Practitioner in Melbourne, FL