Susan Payne Etheridge, MD in Palo Alto, CA - Medicare Pediatric Medicine

Susan Payne Etheridge, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Palo Alto, California. She went to Rush Medical College Of Rush University and graduated in 1987 and has 37 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice University Of Utah Pediatric Services, Alaska Heart Institute and her current practice location is 725 Welch Rd, Palo Alto, California. You can reach out to her office (for appointments etc.) via phone at (650) 497-8000.

Susan Payne Etheridge is licensed to practice in California (license number G195183) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1952480527.

Contact Information

	Susan Payne Etheridge, MD
	725 Welch Rd, Palo Alto, CA 94304-1601
	(650) 497-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Susan Payne Etheridge
Gender	Female
Speciality	Pediatric Medicine
Experience	37 Years
Location	725 Welch Rd, Palo Alto, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Susan Payne Etheridge attended and graduated from Rush Medical College Of Rush University in 1987

NPI Data:

NPI Number: 1952480527
Provider Enumeration Date: 11/03/2006
Last Update Date: 09/10/2024

Medicare PECOS Information:

PECOS PAC ID: 9032002894
Enrollment ID: I20040205000287

Medical Identifiers

Medical identifiers for Susan Payne Etheridge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952480527	NPI	-	NPPES
1018632	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0001X	Internal Medicine - Clinical Cardiac Electrophysiology	M-17302 (Idaho)	Secondary
207RC0001X	Internal Medicine - Clinical Cardiac Electrophysiology	8186 (Alaska)	Secondary
207RC0001X	Internal Medicine - Clinical Cardiac Electrophysiology	273593-1205 (Utah)	Secondary
208000000X	Pediatrics	8186 (Alaska)	Secondary
208000000X	Pediatrics	273593-1205 (Utah)	Secondary
2080P0202X	Pediatrics - Pediatric Cardiology	273593-1205 (Utah)	Secondary
2080P0202X	Pediatrics - Pediatric Cardiology	8389 (Alaska)	Secondary
2080P0202X	Pediatrics - Pediatric Cardiology	G195183 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Utah Pediatric Services	0547552473	70
Alaska Heart Institute	2668371469	57

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 Payne Etheridge allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

Entity Name	University Of Utah Pediatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371

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 Payne Etheridge 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
Susan Payne Etheridge, MD 725 Welch Rd, Palo Alto, CA 94304-1601 Ph: (650) 497-8000	Susan Payne Etheridge, MD 725 Welch Rd, Palo Alto, CA 94304-1601 Ph: (650) 497-8000

Reviews and Comments

Pediatrics Doctors in Palo Alto, CA

Jean Chia, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 730 Welch Rd, Palo Alto, CA 94304 Phone: 650-721-6073
Crystal Lee Mackall, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000
Somya Jalan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000
Erin E Holsinger, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000
Dr. Jerome Linus Murphy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000
Peter Andrew Meaney, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000
Kenneth Ivers Weinberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-498-7103

Susan Payne Etheridge, MD - Medicare Pediatric Medicine in Palo Alto, CA