Susan Henderson, NP in East Patchogue, NY - Medicare Nurse Practitioner

Susan Henderson, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in East Patchogue, New York. Her current practice location is 100 Hospital Rd, Suite 216, East Patchogue, New York. You can reach out to her office (for appointments etc.) via phone at (631) 475-5511.

Susan Henderson is licensed to practice in New York (license number 30304827) 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 1700043411.

Contact Information

	Susan Henderson, NP
	100 Hospital Rd, Suite 216, East Patchogue, NY 11772-8809
	(631) 475-5511
	(631) 475-5544

Map and Direction

Provider's Profile

Full Name	Susan Henderson
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	100 Hospital Rd, East Patchogue, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700043411
Provider Enumeration Date: 05/20/2008
Last Update Date: 05/20/2008

Medicare PECOS Information:

PECOS PAC ID: 0547337859
Enrollment ID: I20080927000191

Medical Identifiers

Medical identifiers for Susan Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700043411	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	30304827 (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. Susan Henderson allows following entities to bill medicare on her behalf.

Entity Name	Stony Brook Surgical Associates University Faculty Practice Corporati
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063468536 PECOS PAC ID: 0345143749 Enrollment ID: O20040202000318

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. Susan Henderson 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
Susan Henderson, NP 124 Colton Ave, Sayville, NY 11782-3108 Ph: (631) 678-2972	Susan Henderson, NP 100 Hospital Rd, Suite 216, East Patchogue, NY 11772-8809 Ph: (631) 475-5511

Reviews and Comments

Nurse Practitioner Nurses in East Patchogue, NY

Natalie Burnett, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Myrtle Ln, East Patchogue, NY 11772 Phone: 631-356-6766
Ms. Dana Anne Vecchio, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 264 Sills Rd, East Patchogue, NY 11772 Phone: 631-504-6261
Terry Pontino, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 475 E Main St, East Patchogue, NY 11772 Phone: 631-475-7700 Fax: 631-307-9911
Ms. Linda Susan Labanca, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 931 Sipp Ave, East Patchogue, NY 11772 Phone: 919-413-2951 Fax: 919-516-4195
Shaina Rosenwasser, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 285 Sills Rd Bldg 1, East Patchogue, NY 11772 Phone: 631-751-3000
Karen S Ferdinand, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 285 Sills Rd, Bldg. 14, East Patchogue, NY 11772 Phone: 631-447-8300 Fax: 631-447-8872
Laureen A. Diot, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Rd, Suite 216, East Patchogue, NY 11772 Phone: 631-475-5511 Fax: 631-475-5544

Susan Henderson, NP - Medicare Nurse Practitioner in East Patchogue, NY