Mr Joel M Suckow, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Keizer, Oregon. His current practice location is
773 Linda Ave Ne, Keizer, Oregon. You can reach out to his office (for appointments etc.) via phone at
(971) 808-2854.
Mr Joel M Suckow is licensed to practice in Oregon (license number MD28195) 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 1639333727.
Physician's Profile
Full Name | Mr Joel M Suckow |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 773 Linda Ave Ne, Keizer, Oregon |
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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: 1639333727
- Provider Enumeration Date: 07/17/2008
- Last Update Date: 12/11/2020
Medicare PECOS Information:
- PECOS PAC ID: 1557429651
- Enrollment ID: I20081017000591
Medical Identifiers
Medical identifiers for Mr Joel M Suckow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639333727 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD28195 (Oregon) | 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. Mr Joel M Suckow allows following entities to bill medicare on his behalf.
Entity Name | Options For Southern Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558366492 PECOS PAC ID: 0941202006 Enrollment ID: O20070217000062 |
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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. Mr Joel M Suckow 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 |
Mr Joel M Suckow, MD 773 Linda Ave Ne, Keizer, OR 97303-4549 Ph: (971) 808-2854 | Mr Joel M Suckow, MD 773 Linda Ave Ne, Keizer, OR 97303 Ph: (971) 808-2854 |
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