Mrs Susan Bursch Jeansonne, ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Nashville, Tennessee. Her current practice location is
1161 21st Ave S, Aa1204 Medical Center North, Nashville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 343-1465.
Mrs Susan Bursch Jeansonne is licensed to practice in Tennessee (license number 17132) 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 1720332174.
Physician's Profile
Full Name | Mrs Susan Bursch Jeansonne |
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Gender | Female |
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Speciality | Nurse Practitioner - Acute Care |
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Location | 1161 21st Ave S, Nashville, Tennessee |
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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: 1720332174
- Provider Enumeration Date: 11/07/2012
- Last Update Date: 09/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 5496900714
- Enrollment ID: I20130312000310
Medical Identifiers
Medical identifiers for Mrs Susan Bursch Jeansonne such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720332174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 17132 (Tennessee) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 17132 (Tennessee) | 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. Mrs Susan Bursch Jeansonne allows following entities to bill medicare on her behalf.
Entity Name | Vanderbilt University Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369 |
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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. Mrs Susan Bursch Jeansonne 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 |
Mrs Susan Bursch Jeansonne, ACNP 1161 21st Ave S, Aa1204 Medical Center North, Nashville, TN 37232-2102 Ph: () - | Mrs Susan Bursch Jeansonne, ACNP 1161 21st Ave S, Aa1204 Medical Center North, Nashville, TN 37232-2102 Ph: (615) 343-1465 |
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