Theresa M Setter, APRN - Medicare Nurse Practitioner in Auburn, NY

Theresa M Setter, APRN is a medicare enrolled "Nurse Practitioner - Family" in Auburn, New York. She went to Jefferson Medical College Of Thomas Jefferson University and graduated in 2006 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 144 Standart Ave, Auburn, New York. You can reach out to her office (for appointments etc.) via phone at (315) 251-1234.

Theresa M Setter is licensed to practice in New York (license number F335679) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114135209.

Contact Information

Theresa M Setter, APRN
144 Standart Ave,
Auburn, NY 13021-1508
(315) 251-1234
Not Available

Map and Direction




Provider's Profile

Full NameTheresa M Setter
GenderFemale
SpecialityNurse Practitioner
Experience18 Years
Location144 Standart Ave, Auburn, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Theresa M Setter attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 2006
  NPI Data:
  • NPI Number: 1114135209
  • Provider Enumeration Date: 05/20/2007
  • Last Update Date: 03/03/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5395982524
  • Enrollment ID: I20130508000060

Medical Identifiers

Medical identifiers for Theresa M Setter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114135209NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 26NJ00126400 (New Jersey)Secondary
363LF0000XNurse Practitioner - Family F335679 (New York)Primary
363LF0000XNurse Practitioner - Family SP009331 (Pennsylvania)Secondary

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. Theresa M Setter allows following entities to bill medicare on her behalf.
Entity NameRevitalize Cny Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396103438
PECOS PAC ID: 2466758925
Enrollment ID: O20160309000871
Entity NameTheresa Setter Np Family Health Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568184372
PECOS PAC ID: 0244608099
Enrollment ID: O20221129000466

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. Theresa M Setter 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 AddressPractice Location Address
Theresa M Setter, APRN
144 Standart Ave,
Auburn, NY 13021-1508

Ph: (315) 445-1101
Theresa M Setter, APRN
144 Standart Ave,
Auburn, NY 13021-1508

Ph: (315) 251-1234

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.