Dr Susan Elisabeth Moore, MD in Crandon, WI

Dr Susan Elisabeth Moore, MD is a medicare enrolled "Family Medicine" physician in Crandon, Wisconsin. Her current practice location is 400 W Glen St, Crandon, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 478-3318.

Dr Susan Elisabeth Moore is licensed to practice in Wisconsin (license number 45505) 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 1578670089.

Contact Information

	Dr Susan Elisabeth Moore, MD
	400 W Glen St, Crandon, WI 54520-1355
	(715) 478-3318
	(715) 478-3255

Map and Direction

Physician's Profile

Full Name	Dr Susan Elisabeth Moore
Gender	Female
Speciality	Family Medicine
Location	400 W Glen St, Crandon, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578670089
Provider Enumeration Date: 08/23/2006
Last Update Date: 05/07/2012

Medicare PECOS Information:

PECOS PAC ID: 2769450501
Enrollment ID: I20040920001171

Medical Identifiers

Medical identifiers for Dr Susan Elisabeth Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578670089	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	45505 (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. Dr Susan Elisabeth Moore allows following entities to bill medicare on her behalf.

Entity Name	Aspirus Rhinelander & Tomahawk Hospitals & Clinics Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144991340 PECOS PAC ID: 9335059856 Enrollment ID: O20031126000706

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 Susan Elisabeth Moore 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 Susan Elisabeth Moore, MD 400 W Glen St, Crandon, WI 54520-1355 Ph: (715) 478-3318	Dr Susan Elisabeth Moore, MD 400 W Glen St, Crandon, WI 54520-1355 Ph: (715) 478-3318

Reviews and Comments

Family Medicine Doctors in Crandon, WI

Kristen Radloff, FNP, APNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3144 Vanzile Rd, Crandon, WI 54520 Phone: 414-378-0403
Dr. Richard Arthur Brandner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3144 Vanzile Rd, Crandon, WI 54520 Phone: 715-478-5180
Frank Mraz, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5409 Everybody's Road, Crandon, WI 54520 Phone: 715-478-4328 Fax: 715-478-4496
Mrs. Karen A Beimborn, MEDICINE SURGERY MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 Phone: 715-478-4300 Fax: 715-478-4490

Dr Susan Elisabeth Moore, MD - Medicare Family Medicine in Crandon, WI