Mrs Susan Renae Carlton, ARNP is a medicare enrolled "Nurse Practitioner - Family" physician in Rochester, Washington. Her current practice location is
18313 Paulson St Sw Ste A, Rochester, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 827-8400.
Mrs Susan Renae Carlton is licensed to practice in Washington (license number AP61410451) 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 1710684105.
Physician's Profile
Full Name | Mrs Susan Renae Carlton |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 18313 Paulson St Sw Ste A, Rochester, Washington |
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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: 1710684105
- Provider Enumeration Date: 02/15/2023
- Last Update Date: 04/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 8921473208
- Enrollment ID: I20230419001723
Medical Identifiers
Medical identifiers for Mrs Susan Renae Carlton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710684105 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | AP61410451 (Washington) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP61410451 (Washington) | 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 Renae Carlton allows following entities to bill medicare on her behalf.
Entity Name | Providence Health & Services Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
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Entity Name | Providence Health & Services- Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205931508 PECOS PAC ID: 2365427556 Enrollment ID: O20040622000640 |
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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 Renae Carlton 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 Renae Carlton, ARNP 18313 Paulson St Sw Ste A, Rochester, WA 98579-9262 Ph: (360) 827-8400 | Mrs Susan Renae Carlton, ARNP 18313 Paulson St Sw Ste A, Rochester, WA 98579-9262 Ph: (360) 827-8400 |
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