Susan Moran, is a medicare enrolled "Social Worker - Clinical" provider in Randolph, New York. Her current practice location is
356 Main Street Er, Randolph, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 535-1741.
Susan Moran is licensed to practice in New York (license number R078346-1) 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 1629600903.
Healthcare Provider's Profile
Full Name | Susan Moran |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 356 Main Street Er, Randolph, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629600903
- Provider Enumeration Date: 02/05/2020
- Last Update Date: 02/05/2020
Medicare PECOS Information:
- PECOS PAC ID: 4183038532
- Enrollment ID: I20210127001121
Medical Identifiers
Medical identifiers for Susan Moran such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629600903 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | R078346-1 (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 Moran allows following entities to bill medicare on her behalf.
Entity Name | New Directions Youth & Family Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104010347 PECOS PAC ID: 2466785373 Enrollment ID: O20190607002429 |
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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 Moran 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 Moran, 356 Main Street Er, Randolph, NY 14772-9696 Ph: (716) 535-1741 | Susan Moran, 356 Main Street Er, Randolph, NY 14772-9696 Ph: (716) 535-1741 |
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