Susan Kudrak, in Bethel, CT - Medicare Counselor Provider

Susan Kudrak, is a medicare enrolled "Counselor - Professional" provider in Bethel, Connecticut. Her current practice location is 35 Judd Ave, Bethel, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 733-9103.

Susan Kudrak is licensed to practice in Connecticut (license number 000637) 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 1336790211.

Contact Information

	Susan Kudrak,
	35 Judd Ave, Bethel, CT 06801-1538
	(203) 733-9103
	(203) 744-0801

Map and Direction

Healthcare Provider's Profile

Full Name	Susan Kudrak
Gender	Female
Speciality	Counselor - Professional
Location	35 Judd Ave, Bethel, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336790211
Provider Enumeration Date: 09/23/2019
Last Update Date: 09/23/2019

Medicare PECOS Information:

PECOS PAC ID: 6002257268
Enrollment ID: I20240518000611

Medical Identifiers

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

Identifier	Type	State	Issuer
1336790211	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	000637 (Connecticut)	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 Kudrak allows following entities to bill medicare on her behalf.

Entity Name	Wct Behavioral Health & Medication Management Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285391474 PECOS PAC ID: 8820480734 Enrollment ID: O20220126000469

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 Kudrak 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 Kudrak, 35 Judd Ave, Bethel, CT 06801-1538 Ph: (203) 733-9103	Susan Kudrak, 35 Judd Ave, Bethel, CT 06801-1538 Ph: (203) 733-9103

Reviews and Comments

Counselor in Bethel, CT

Linda Tran, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Depot Pl, Bethel, CT 06801 Phone: 203-917-8296
Priscilla Montes, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Depot Pl, Bethel, CT 06801 Phone: 203-917-8296
Ashley Bruckenthal, Counselor Medicare: Medicare Enrolled Practice Location: 30 Deepwood Dr, Bethel, CT 06801 Phone: 203-927-8907
Riya Kaur Sidhu, LPC Counselor Medicare: Medicare Enrolled Practice Location: 85 Knollwood Dr, Bethel, CT 06801 Phone: 203-512-1692
Samantha Bachman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Depot Pl Fl 1, Bethel, CT 06801 Phone: 203-313-1541
Alexander Shvartsman, MA, LADC, CCDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 153 Greenwood Ave, Suite #6, Bethel, CT 06801 Phone: 203-743-4112 Fax: 203-743-6464

Susan Kudrak, - Medicare Counselor in Bethel, CT