Theresa Marie Clearwater, FNP - Medicare Nurse Practitioner in Newburgh, NY

Theresa Marie Clearwater, FNP is a medicare enrolled "Nurse Practitioner - Family" in Newburgh, New York. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Crystal Run Healthcare Physicians Llp and her current practice location is 1200 Route 300, Newburgh, New York. You can reach out to her office (for appointments etc.) via phone at (845) 703-6999.

Theresa Marie Clearwater is licensed to practice in New York (license number F339710-1) 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 1104207893.

Contact Information

Theresa Marie Clearwater, FNP
1200 Route 300,
Newburgh, NY 12550-5003
(845) 703-6999
(845) 703-6297

Map and Direction




Provider's Profile

Full NameTheresa Marie Clearwater
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location1200 Route 300, Newburgh, 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 Marie Clearwater graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1104207893
  • Provider Enumeration Date: 06/18/2015
  • Last Update Date: 08/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0345525218
  • Enrollment ID: I20170316001660

Medical Identifiers

Medical identifiers for Theresa Marie Clearwater such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104207893NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F339710-1 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Crystal Run Healthcare Physicians Llp6901792696368

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 Marie Clearwater allows following entities to bill medicare on her behalf.
Entity NameCrystal Run Healthcare Physicians Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952376410
PECOS PAC ID: 6901792696
Enrollment ID: O20040227000791

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 Marie Clearwater 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 Marie Clearwater, FNP
155 Crystal Run Rd,
Middletown, NY 10941-4028

Ph: (845) 703-6999
Theresa Marie Clearwater, FNP
1200 Route 300,
Newburgh, NY 12550-5003

Ph: (845) 703-6999

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.