Mrs Suellen Elmendorf, FNP is a
Nurse Practitioner - Family based in Olivebridge, New York. Mrs Suellen Elmendorf is licensed to practice in New York (license number F336062-1) and her current practice location is
230 Crispell Rd, Olivebridge, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 657-6532.
NPI number for Mrs Suellen Elmendorf is 1851617880 and her current mailing address is 230 Crispell Rd, Olivebridge, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851617880.
Provider's Profile
| Full Name | Mrs Suellen Elmendorf |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 230 Crispell Rd, Olivebridge, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1851617880
- Provider Enumeration Date: 04/15/2010
- Last Update Date: 11/10/2011
Medical Identifiers
Medical identifiers for Mrs Suellen Elmendorf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851617880 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | F336062-1 (New York) | Primary |
| 163W00000X | Registered Nurse | 345540 (New York) | Secondary |
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. Mrs Suellen Elmendorf is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Suellen Elmendorf, FNP
230 Crispell Rd,
Olivebridge, NY 12461-5446
Ph: (845) 657-6532 | Mrs Suellen Elmendorf, FNP
230 Crispell Rd,
Olivebridge, NY 12461-5446
Ph: (845) 657-6532 |
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