Susan M Exworthy, LCSW CSAC is a medicare enrolled "Social Worker - Clinical" provider in Sturgeon Bay, Wisconsin. She went to University Of Wisconsin School Of Medicine and graduated in 2014 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Door County Memorial Hospital and her current practice location is
323 S 18th Ave, Sturgeon Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 746-0510.
Susan M Exworthy is licensed to practice in Wisconsin (license number 8922-123) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306231683.
Healthcare Provider's Profile
| Full Name | Susan M Exworthy |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 11 Years |
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| Location | 323 S 18th Ave, Sturgeon Bay, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Susan M Exworthy attended and graduated from University Of Wisconsin School Of Medicine in 2014
NPI Data:
- NPI Number: 1306231683
- Provider Enumeration Date: 04/02/2015
- Last Update Date: 11/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 5294080453
- Enrollment ID: I20180612003192
Medical Identifiers
Medical identifiers for Susan M Exworthy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306231683 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15999-132 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8922-123 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Door County Memorial Hospital | 5395735088 | 67 |
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 M Exworthy allows following entities to bill medicare on her behalf.
| Entity Name | Oneida Nation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740278308
PECOS PAC ID: 6800794074
Enrollment ID: O20031224000077 |
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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 M Exworthy 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 M Exworthy, LCSW CSAC
323 S 18th Ave,
Sturgeon Bay, WI 54235-1401
Ph: (920) 746-0510 | Susan M Exworthy, LCSW CSAC
323 S 18th Ave,
Sturgeon Bay, WI 54235-1401
Ph: (920) 746-0510 |
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