Dr Kirk L Susott, MD is a medicare enrolled "Urology" physician in Iron Mountain, Michigan. His current practice location is
325 E H St, Oscar G. Johnson Va Medical Center, Iron Mountain, Michigan. You can reach out to his office (for appointments etc.) via phone at
(906) 774-3300.
Dr Kirk L Susott is licensed to practice in Michigan (license number 4301039087) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003818683.
Physician's Profile
| Full Name | Dr Kirk L Susott |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 325 E H St, Iron Mountain, Michigan |
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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: 1003818683
- Provider Enumeration Date: 08/12/2005
- Last Update Date: 12/03/2013
Medicare PECOS Information:
- PECOS PAC ID: 1355385287
- Enrollment ID: I20140922001256
Medical Identifiers
Medical identifiers for Dr Kirk L Susott such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003818683 | NPI | - | NPPES |
| 4758301 | Medicaid | MI | |
| 4777174 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 4301039087 (Michigan) | Primary |
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. Dr Kirk L Susott 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 |
|---|
Dr Kirk L Susott, MD
325 E H St, Oscar G. Johnson Va Medical Center,
Iron Mountain, MI 49801-4760
Ph: (906) 774-3300 | Dr Kirk L Susott, MD
325 E H St, Oscar G. Johnson Va Medical Center,
Iron Mountain, MI 49801-4760
Ph: (906) 774-3300 |
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