Mrs Susan Renee Youngblood, LPC is a medicare enrolled "Counselor - Professional" provider in Wilson, Oklahoma. Her current practice location is
867 Us Highway 70a, Wilson, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 668-2337.
Mrs Susan Renee Youngblood is licensed to practice in Oklahoma (license number 3573) 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 1225245046.
Healthcare Provider's Profile
Full Name | Mrs Susan Renee Youngblood |
---|
Gender | Female |
---|
Speciality | Counselor - Professional |
---|
Location | 867 Us Highway 70a, Wilson, Oklahoma |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1225245046
- Provider Enumeration Date: 05/17/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9739532797
- Enrollment ID: I20240126001006
Medical Identifiers
Medical identifiers for Mrs Susan Renee Youngblood such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225245046 | NPI | - | NPPES |
2006 | Other | OK | SELECTCARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 3573 (Oklahoma) | 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. Mrs Susan Renee Youngblood allows following entities to bill medicare on her behalf.
Entity Name | Community Pathways Unlimited Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1659328284 PECOS PAC ID: 6608776349 Enrollment ID: O20040109001005 |
---|
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. Mrs Susan Renee Youngblood 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 |
Mrs Susan Renee Youngblood, LPC 4001 Knights Bridge St, Norman, OK 73072-1743 Ph: (405) 627-0276 | Mrs Susan Renee Youngblood, LPC 867 Us Highway 70a, Wilson, OK 73463-1683 Ph: (580) 668-2337 |
Reviews and Comments