Suzanna Marie Bird, is a medicare enrolled "Social Worker - Clinical" provider in Shelley, Idaho. Her current practice location is
675 Aspen Ave, Shelley, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 419-6196.
Suzanna Marie Bird is licensed to practice in Idaho (license number LCSW-43376) 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 1942748199.
Healthcare Provider's Profile
Full Name | Suzanna Marie Bird |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 675 Aspen Ave, Shelley, Idaho |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1942748199
- Provider Enumeration Date: 02/08/2017
- Last Update Date: 01/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 9133587645
- Enrollment ID: I20230615000720
Medical Identifiers
Medical identifiers for Suzanna Marie Bird such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942748199 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 36378 (Idaho) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW-43376 (Idaho) | 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. Suzanna Marie Bird allows following entities to bill medicare on her behalf.
Entity Name | Human Supports Of Idaho |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922340124 PECOS PAC ID: 0244485894 Enrollment ID: O20130305000118 |
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Entity Name | Mental Health Specialists |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548585458 PECOS PAC ID: 1658665427 Enrollment ID: O20160802003169 |
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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. Suzanna Marie Bird 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 |
Suzanna Marie Bird, 675 Aspen Ave, Shelley, ID 83274-1414 Ph: () - | Suzanna Marie Bird, 675 Aspen Ave, Shelley, ID 83274-1414 Ph: (208) 419-6196 |
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