Mrs Susan Mary Brown, RD in Champaign, IL - Medicare Dietitian, Registered Provider

Mrs Susan Mary Brown, RD is a medicare enrolled "Dietitian, Registered" provider in Champaign, Illinois. Her current practice location is 1813 W Kirby Ave, Champaign, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 384-3490.

Mrs Susan Mary Brown is licensed to practice in Illinois (license number 164003513) 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 1720095961.

Contact Information

	Mrs Susan Mary Brown, RD
	1813 W Kirby Ave, Champaign, IL 61821-5410
	(217) 384-3490
	(217) 383-3439

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Susan Mary Brown
Gender	Female
Speciality	Dietitian, Registered
Location	1813 W Kirby Ave, Champaign, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720095961
Provider Enumeration Date: 08/01/2006
Last Update Date: 12/26/2014

Medicare PECOS Information:

PECOS PAC ID: 9133024995
Enrollment ID: I20031204000614

Medical Identifiers

Medical identifiers for Mrs Susan Mary Brown such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720095961	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	164003513 (Illinois)	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 Mary Brown allows following entities to bill medicare on her behalf.

Provider Name	Hoopeston Community Memorial Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1366480873 PECOS PAC ID: 3577456037 Enrollment ID: O20040210000011

Provider Name	Carle Health Care Incorporated
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829

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 Mary Brown 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 Mary Brown, RD 611 W. Park St., Bwpc, Urbana, IL 61801-2500 Ph: (217) 383-6792	Mrs Susan Mary Brown, RD 1813 W Kirby Ave, Champaign, IL 61821-5410 Ph: (217) 384-3490

Reviews and Comments

Dietitian, Registered in Champaign, IL

Kimberly Spirek, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 310 E Springfield Ave Apt 1208, Champaign, IL 61820 Phone: 847-975-4464
Madeline Puto, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 109 W Ells Ave, Champaign, IL 61820 Phone: 314-681-7237
Laura Ann Jacob, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1801 W Windsor Rd, Champaign, IL 61822 Phone: 217-366-8144
Martha Finn Trenkamp, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1701 W. Curtis Rd., Champaign, IL 61822 Phone: 217-365-6205
Maryjean Mccallister, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1813 W Kirby Ave, Champaign, IL 61821 Phone: 217-383-3490 Fax: 217-383-3439
Kati Rudin, Dietitian Medicare: Medicare Enrolled Practice Location: 1701 Curtis Rd, Champaign, IL 61822 Phone: 217-365-2853
Anna Crawford, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 44 E Main St Ste 406, Champaign, IL 61820 Phone: 217-721-4042

Mrs Susan Mary Brown, RD - Medicare Dietitian in Champaign, IL