Dr Sussan Mbi Ndakor, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Waterloo, Iowa. Her current practice location is
1825 Logan Ave, Waterloo, Iowa. You can reach out to her office (for appointments etc.) via phone at
(319) 235-3620.
Dr Sussan Mbi Ndakor is licensed to practice in * (Not Available) (license number ) 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 1376837955.
Physician's Profile
Full Name | Dr Sussan Mbi Ndakor |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1825 Logan Ave, Waterloo, Iowa |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1376837955
- Provider Enumeration Date: 06/01/2011
- Last Update Date: 01/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 5698049625
- Enrollment ID: I20170914002356
Medical Identifiers
Medical identifiers for Dr Sussan Mbi Ndakor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376837955 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | MD-43755 (Iowa) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Sussan Mbi Ndakor allows following entities to bill medicare on her behalf.
Entity Name | Iowa Physicians Clinic Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
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Entity Name | Allen Memorial Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891772927 PECOS PAC ID: 4284546045 Enrollment ID: O20031211000480 |
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Entity Name | Unitypoint Health - Marshalltown |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164957593 PECOS PAC ID: 0941587307 Enrollment ID: O20170608002304 |
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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. Dr Sussan Mbi Ndakor 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 Sussan Mbi Ndakor, MD 1825 Logan Ave, Waterloo, IA 50703-1916 Ph: (319) 235-3620 | Dr Sussan Mbi Ndakor, MD 1825 Logan Ave, Waterloo, IA 50703-1916 Ph: (319) 235-3620 |
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