Dr Suzanne Marie Keizer, PSYD, MSCP is a medicare enrolled "Psychologist - Clinical" provider in Sioux Falls, South Dakota. Her current practice location is
1020 W 18th St, Sioux Falls, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 444-9700.
Dr Suzanne Marie Keizer is licensed to practice in Iowa (license number 001195) 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 1447585476.
Healthcare Provider's Profile
| Full Name | Dr Suzanne Marie Keizer |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 1020 W 18th St, Sioux Falls, South Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1447585476
- Provider Enumeration Date: 10/08/2009
- Last Update Date: 02/04/2020
Medicare PECOS Information:
- PECOS PAC ID: 1456504687
- Enrollment ID: I20240429002928
Medical Identifiers
Medical identifiers for Dr Suzanne Marie Keizer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447585476 | NPI | - | NPPES |
| 001195 | Other | IA | BOARD OF PSYCHOLOGY LICENSE |
| 000558 | Other | IA | IOWA HEALTH SERVICE PROVIDER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 826 (Nebraska) | Secondary |
| 103TH0100X | Psychologist - Health Service | 000558 (Iowa) | Secondary |
| 103TC0700X | Psychologist - Clinical | 001195 (Iowa) | 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. Dr Suzanne Marie Keizer allows following entities to bill medicare on her behalf.
| Entity Name | Southeastern Behavioral Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114002573
PECOS PAC ID: 7618867367
Enrollment ID: O20040317000821 |
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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. Dr Suzanne Marie Keizer 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 |
|---|
Dr Suzanne Marie Keizer, PSYD, MSCP
5612 S Cain Ave,
Sioux Falls, SD 57106-2647
Ph: (712) 266-5504 | Dr Suzanne Marie Keizer, PSYD, MSCP
1020 W 18th St,
Sioux Falls, SD 57104-4707
Ph: (605) 444-9700 |
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