Susan M Block, RD is a medicare enrolled "Dietitian, Registered" provider in Bloomer, Wisconsin. Her current practice location is
1501 Thompson St, Bloomer, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 838-5222.
Susan M Block is licensed to practice in Wisconsin (license number 18) 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 1649201062.
Healthcare Provider's Profile
| Full Name | Susan M Block |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1501 Thompson St, Bloomer, Wisconsin |
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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: 1649201062
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 01/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 1658356050
- Enrollment ID: I20040621000895
Medical Identifiers
Medical identifiers for Susan M Block such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649201062 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 18 (Wisconsin) | 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 M Block allows following entities to bill medicare on her behalf.
| Provider Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1235588831
PECOS PAC ID: 4385553627
Enrollment ID: O20161109002075 |
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| Provider Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
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| Provider Type | Part A Provider - Critical Access Hospital |
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| Provider Identifiers | NPI Number: 1700837812
PECOS PAC ID: 4385553627
Enrollment ID: O20171012001230 |
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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. Susan M Block 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 |
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Susan M Block, RD
200 1st St Sw,
Rochester, MN 55905-0002
Ph: (715) 838-5222 | Susan M Block, RD
1501 Thompson St,
Bloomer, WI 54724-1257
Ph: (715) 838-5222 |
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