Susan Carol Baisden, MS; PHD is a medicare enrolled "Psychologist - Clinical" provider in Williamson, West Virginia. She graduated from healthcare school in 1981 and has 43 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
41 W 5th Ave, Williamson, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 235-3390.
Susan Carol Baisden is licensed to practice in West Virginia (license number 403) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1558361527.
Healthcare Provider's Profile
| Full Name | Susan Carol Baisden |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 43 Years |
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| Location | 41 W 5th Ave, Williamson, West Virginia |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Susan Carol Baisden graduated from medical school in 1981
NPI Data:
- NPI Number: 1558361527
- Provider Enumeration Date: 07/29/2005
- Last Update Date: 03/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062306764
- Enrollment ID: I20181108000566
Medical Identifiers
Medical identifiers for Susan Carol Baisden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558361527 | NPI | - | NPPES |
| 0163475000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 538 (West Virginia) | Secondary |
| 103TC0700X | Psychologist - Clinical | 403 (West Virginia) | Primary |
| 1041C0700X | Social Worker - Clinical | CP00452669 (West Virginia) | Secondary |
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 Carol Baisden allows following entities to bill medicare on her behalf.
| Entity Name | Professional Counseling Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720143555
PECOS PAC ID: 4284528977
Enrollment ID: O20040212000418 |
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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 Carol Baisden 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 |
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Susan Carol Baisden, MS; PHD
41 W 5th Ave,
Williamson, WV 25661-3201
Ph: (304) 235-3390 | Susan Carol Baisden, MS; PHD
41 W 5th Ave,
Williamson, WV 25661-3201
Ph: (304) 235-3390 |
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