Susan Dawn Mayberry, in Council Bluffs, IA - Medicare Counselor Provider

Susan Dawn Mayberry, is a medicare enrolled "Counselor - Mental Health" provider in Council Bluffs, Iowa. Her current practice location is 801 Harmony St Ste 302, Council Bluffs, Iowa. You can reach out to her office (for appointments etc.) via phone at (712) 328-2609.

Susan Dawn Mayberry is licensed to practice in Nebraska (license number 2243) 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 1861946071.

Contact Information

	Susan Dawn Mayberry,
	801 Harmony St Ste 302, Council Bluffs, IA 51503-3106
	(712) 328-2609
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Susan Dawn Mayberry
Gender	Female
Speciality	Counselor - Mental Health
Location	801 Harmony St Ste 302, Council Bluffs, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861946071
Provider Enumeration Date: 08/05/2016
Last Update Date: 11/14/2023

Medicare PECOS Information:

PECOS PAC ID: 5890146807
Enrollment ID: I20240103004077

Medical Identifiers

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

Identifier	Type	State	Issuer
1861946071	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	20R002 (Iowa)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	1314 (Nebraska)	Secondary
101YM0800X	Counselor - Mental Health	099212 (Iowa)	Secondary
101YM0800X	Counselor - Mental Health	2243 (Nebraska)	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 Dawn Mayberry allows following entities to bill medicare on her behalf.

Entity Name	Alegent Creighton Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770922437 PECOS PAC ID: 1850285255 Enrollment ID: O20131023000316

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 Dawn Mayberry 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 Dawn Mayberry, 117 Valley St, Glenwood, IA 51534-1024 Ph: (712) 527-1064	Susan Dawn Mayberry, 801 Harmony St Ste 302, Council Bluffs, IA 51503-3106 Ph: (712) 328-2609

Reviews and Comments

Counselor in Council Bluffs, IA

Monica S Meier, PMHP, PMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 E. Broadway, Council Bluffs, IA 51503 Phone: 712-322-1407 Fax: 712-322-6833
Ashley Peregrine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2912 9th Ave, Council Bluffs, IA 51501 Phone: 402-553-3000
Jennifer Stewart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 E Broadway, Council Bluffs, IA 51503 Phone: 712-322-1407 Fax: 712-322-6833
Mrs. Rachelle A Bartlett, MS, PLMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 803 3rd Ave, Council Bluffs, IA 51501 Phone: 712-352-0917
Thomas Edward Koch, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 803 3rd Ave # Ia51501, Council Bluffs, IA 51501 Phone: 712-352-0917 Fax: 712-352-0837
Robert Scott Andrews, MS LMHC NCC Counselor Medicare: Medicare Enrolled Practice Location: 300 W Broadway Ste 107, Council Bluffs, IA 51503 Phone: 712-328-3700
Mrs. Carolyn Ann Andersen Burgher, MS LMHC LMHP LIMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Main Place, Suite 100 Omni Center Business Park, Council Bluffs, IA 51503 Phone: 712-320-9205

Susan Dawn Mayberry, - Medicare Counselor in Council Bluffs, IA