Suzanne Wilson, FNP in Ithaca, NY - Medicare Nurse Practitioner

Suzanne Wilson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Ithaca, New York. Her current practice location is 404 North Cayuga St, Ithaca, New York. You can reach out to her office (for appointments etc.) via phone at (607) 277-0969.

Suzanne Wilson is licensed to practice in New York (license number F336792) 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 1578535779.

Contact Information

	Suzanne Wilson, FNP
	404 North Cayuga St, Ithaca, NY 14850-4219
	(607) 277-0969
	(607) 277-3242

Map and Direction

Provider's Profile

Full Name	Suzanne Wilson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	404 North Cayuga St, Ithaca, 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: 1578535779
Provider Enumeration Date: 02/02/2006
Last Update Date: 08/09/2011

Medicare PECOS Information:

PECOS PAC ID: 4486824893
Enrollment ID: I20110824000012

Medical Identifiers

Medical identifiers for Suzanne Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578535779	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	416301-1 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	F336792 (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. Suzanne Wilson allows following entities to bill medicare on her behalf.

Entity Name	Cayuga Emergency Physicians, Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700952660 PECOS PAC ID: 6507965985 Enrollment ID: O20070626000450

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. Suzanne Wilson 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
Suzanne Wilson, FNP 404 North Cayuga Street, Ithacamed, Ithaca, NY 14850-4219 Ph: (607) 277-0969	Suzanne Wilson, FNP 404 North Cayuga St, Ithaca, NY 14850-4219 Ph: (607) 277-0969

Reviews and Comments

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Suzanne Wilson, FNP - Medicare Nurse Practitioner in Ithaca, NY