Sue A Green, FNP - Medicare Nurse Practitioner in Waterloo, NY

  1. Home
  2. Nurse Practitioner
  3. NY
  4. Waterloo
Sue A Green, FNP is a medicare enrolled "Nurse Practitioner - Family" in Waterloo, New York. Her current practice location is 369 E Main St, Waterloo, New York. You can reach out to her office (for appointments etc.) via phone at (315) 539-4025.

Sue A Green is licensed to practice in New York (license number F336853) 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 1083993661.

Contact Information

Sue A Green, FNP
369 E Main St,
Waterloo, NY 13165-1654
(315) 539-4025
Not Available

Map and Direction




Provider's Profile

Full NameSue A Green
GenderFemale
SpecialityNurse Practitioner - Family
Location369 E Main St, Waterloo, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083993661
  • Provider Enumeration Date: 08/12/2011
  • Last Update Date: 08/12/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1557517471
  • Enrollment ID: I20120809000047

Medical Identifiers

Medical identifiers for Sue A Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083993661NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F336853 (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. Sue A Green allows following entities to bill medicare on her behalf.
Entity NameFlh Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215174644
PECOS PAC ID: 6507922358
Enrollment ID: O20090304000165
Entity NameSoldiers & Sailors Memorial Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1215044516
PECOS PAC ID: 0446164255
Enrollment ID: O20210407000450

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. Sue A Green 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
Sue A Green, FNP
35 Mason St, Suite 214,
Geneva, NY 14456-1133

Ph: (315) 230-5646		Sue A Green, FNP
369 E Main St,
Waterloo, NY 13165-1654

Ph: (315) 539-4025

Reviews and Comments


Nurse Practitioner Nurses in Waterloo, NY

Janet L Owen, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 367 E Main St, Waterloo, NY 13165
Phone: 315-539-0580    Fax: 315-539-0583
Roberta L. Korich, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 367 E Main St, Seneca Family Health Center, Waterloo, NY 13165
Phone: 315-787-4977    
Mrs. Jennifer Lauren Whitmore,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 367 E Main St, Waterloo, NY 13165
Phone: 315-787-4977    
Stephanie Humbert,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 367 E Main St, Waterloo, NY 13165
Phone: 315-521-9228    
Ute E Gallert, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 369 E. Main Street, Huntington Living Center, Waterloo, NY 13165
Phone: 315-539-9202    Fax: 315-539-3495
Brianne En, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 31 Thurber Dr, Waterloo, NY 13165
Phone: 315-539-1980    

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.