Mrs Susan Marie Locke, RD is a medicare enrolled "Dietitian, Registered" provider in Mount Juliet, Tennessee. Her current practice location is
1603 Shelby Trce, Mount Juliet, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 284-2800.
Mrs Susan Marie Locke is licensed to practice in Tennessee (license number LDN0000001634) 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 1093988701.
Healthcare Provider's Profile
| Full Name | Mrs Susan Marie Locke |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1603 Shelby Trce, Mount Juliet, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1093988701
- Provider Enumeration Date: 04/02/2008
- Last Update Date: 04/02/2008
Medicare PECOS Information:
- PECOS PAC ID: 9830574102
- Enrollment ID: I20220922002235
Medical Identifiers
Medical identifiers for Mrs Susan Marie Locke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093988701 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | LDN0000001634 (Tennessee) | 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 Marie Locke allows following entities to bill medicare on her behalf.
| Provider Name | Saint Thomas Medical Partners |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1437194669
PECOS PAC ID: 1557269354
Enrollment ID: O20031230000470 |
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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. Mrs Susan Marie Locke 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 Marie Locke, RD
1603 Shelby Trce,
Mount Juliet, TN 37122-3555
Ph: (615) 284-2800 | Mrs Susan Marie Locke, RD
1603 Shelby Trce,
Mount Juliet, TN 37122-3555
Ph: (615) 284-2800 |
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