Debra Kay Canellos, CRNP in Lewisburg, PA - Medicare Nurse Practitioner

Debra Kay Canellos, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Lewisburg, Pennsylvania. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Susquehanna Physician Services and her current practice location is 1 Hospital Dr, Lewisburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 522-4264.

Debra Kay Canellos is licensed to practice in Pennsylvania (license number SP019590) 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 1619440971.

Contact Information

	Debra Kay Canellos, CRNP
	1 Hospital Dr, Lewisburg, PA 17837-9350
	(570) 522-4264
	(570) 768-3709

Map and Direction

Provider's Profile

Full Name	Debra Kay Canellos
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	1 Hospital Dr, Lewisburg, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Debra Kay Canellos graduated from nursing school in 2017

NPI Data:

NPI Number: 1619440971
Provider Enumeration Date: 01/09/2019
Last Update Date: 10/09/2025

Medicare PECOS Information:

PECOS PAC ID: 1052658234
Enrollment ID: I20190125001243

Medical Identifiers

Medical identifiers for Debra Kay Canellos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619440971	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP019590 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Williamsport Regional Medical Center	Williamsport, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Susquehanna Physician Services	2264336460	510

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. Debra Kay Canellos allows following entities to bill medicare on her behalf.

Entity Name	Susquehanna Physician Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992743868 PECOS PAC ID: 2264336460 Enrollment ID: O20040412001371

Entity Name	Susquehanna Physician Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083677868 PECOS PAC ID: 2264336460 Enrollment ID: O20070129000663

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. Debra Kay Canellos 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
Debra Kay Canellos, CRNP 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405	Debra Kay Canellos, CRNP 1 Hospital Dr, Lewisburg, PA 17837-9350 Ph: (570) 522-4264

Reviews and Comments

Nurse Practitioner Nurses in Lewisburg, PA

Barbara J Kelley, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-2640 Fax: 570-768-3921
Erin Michelle Ruiz, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Buffalo Rd Ste 104, Lewisburg, PA 17837 Phone: 570-523-7774
Ms. Susan Lynn Skotleski Krum, MSN/CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-4200 Fax: 570-522-4203
Amelia Ann-marie Swartzbaugh, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 121 Jpm Rd, Lewisburg, PA 17837 Phone: 570-551-0300
Emily E Mowry, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 121 Jpm Rd, Lewisburg, PA 17837 Phone: 570-551-0300
Angela L Alexander, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Moore Avenue, Lewisburg, PA 17837 Phone: 570-577-1401 Fax: 570-577-3570
David J Hoffman, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 Buffalo Rd, Lewisburg, PA 17837 Phone: 570-524-4446 Fax: 570-522-1110

Debra Kay Canellos, CRNP - Medicare Nurse Practitioner in Lewisburg, PA