Nicole Marie Fetzer, CRNA - Medicare Nurse Anesthetist, Certified Registered in Liverpool, NY

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Nicole Marie Fetzer, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Liverpool, New York. Her current practice location is 225 Greenfield Pkwy Ste 105, Liverpool, New York. You can reach out to her office (for appointments etc.) via phone at (315) 451-6911.

Nicole Marie Fetzer is licensed to practice in New York (license number 543801) 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 1902105273.

Contact Information

Nicole Marie Fetzer, CRNA
225 Greenfield Pkwy Ste 105,
Liverpool, NY 13088
(315) 451-6911
(315) 451-1540

Map and Direction




Physician's Profile

Full NameNicole Marie Fetzer
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location225 Greenfield Pkwy Ste 105, Liverpool, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902105273
  • Provider Enumeration Date: 03/25/2011
  • Last Update Date: 07/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1850578634
  • Enrollment ID: I20110603000048

Medical Identifiers

Medical identifiers for Nicole Marie Fetzer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902105273NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 543801 (New York)Secondary
367500000XNurse Anesthetist, Certified Registered 543801 (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. Nicole Marie Fetzer allows following entities to bill medicare on her behalf.
Entity NameU Of R Anesthesiology Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609806488
PECOS PAC ID: 3476451105
Enrollment ID: O20031219000433
Entity NameNorth American Partners In Anesthesia Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649264706
PECOS PAC ID: 7719885771
Enrollment ID: O20040108000176
Entity NameParkside Medical Anesthesia Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871537464
PECOS PAC ID: 7517854631
Enrollment ID: O20040303000453
Entity NameOswego Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871678458
PECOS PAC ID: 4981686045
Enrollment ID: O20040602001275
Entity NameGreat Lakes Surgical Associates, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851574024
PECOS PAC ID: 4486738929
Enrollment ID: O20080222000298

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. Nicole Marie Fetzer 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
Nicole Marie Fetzer, CRNA
Po Box 2337,
Syracuse, NY 13220-2337

Ph: (315) 422-6705		Nicole Marie Fetzer, CRNA
225 Greenfield Pkwy Ste 105,
Liverpool, NY 13088

Ph: (315) 451-6911

Reviews and Comments



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.