Ms Susan Diane Blackburn, LMSW - Medicare Clinical Social Worker in North Muskegon, MI

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Ms Susan Diane Blackburn, LMSW is a medicare enrolled "Social Worker - Clinical" provider in North Muskegon, Michigan. Her current practice location is 2006 Holton Rd, North Muskegon, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 672-3333.

Ms Susan Diane Blackburn is licensed to practice in Michigan (license number 6801079604) 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 1649512484.

Contact Information

Ms Susan Diane Blackburn, LMSW
2006 Holton Rd,
North Muskegon, MI 49445-1505
(231) 672-3333
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Susan Diane Blackburn
GenderFemale
SpecialitySocial Worker - Clinical
Location2006 Holton Rd, North Muskegon, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649512484
  • Provider Enumeration Date: 03/19/2013
  • Last Update Date: 08/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3870730161
  • Enrollment ID: I20130503000456

Medical Identifiers

Medical identifiers for Ms Susan Diane Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649512484NPI-NPPES
1649512484MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 6801079604 (Michigan)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. Ms Susan Diane Blackburn allows following entities to bill medicare on her behalf.
Entity NameMercy Physician Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023056744
PECOS PAC ID: 8921996307
Enrollment ID: O20040308000687
Entity NameMercy Health Partners - Physician Specialist
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922248772
PECOS PAC ID: 2163572991
Enrollment ID: O20090616000615
Entity NameAdvantage Health/saint Mary's Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376862151
PECOS PAC ID: 4082807961
Enrollment ID: O20101023000279

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. Ms Susan Diane Blackburn 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
Ms Susan Diane Blackburn, LMSW
Po Box 776974,
Chicago, IL 60677-6974

Ph: (231) 672-2119		Ms Susan Diane Blackburn, LMSW
2006 Holton Rd,
North Muskegon, MI 49445-1505

Ph: (231) 672-3333

Reviews and Comments


Social Worker in North Muskegon, MI

Mrs. Susan Renee Gerstweiler, LMSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 2122 Oak Ave, North Muskegon, MI 49445
Phone: 231-557-7033    

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.