Susan A Neilsen, MD is a medicare enrolled "Family Medicine" physician in Brookpark, Ohio. Her current practice location is
15900 Snow Rd, Brookpark, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 365-0772.
Susan A Neilsen is licensed to practice in Ohio (license number 35065003) 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 1447336946.
Physician's Profile
| Full Name | Susan A Neilsen |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 15900 Snow Rd, Brookpark, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1447336946
- Provider Enumeration Date: 10/27/2006
- Last Update Date: 01/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 9436145729
- Enrollment ID: I20041116000106
Medical Identifiers
Medical identifiers for Susan A Neilsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447336946 | NPI | - | NPPES |
| 378646 | Other | OH | WELLCARE |
| 340714684101 | Other | OH | CARESOURCE |
| 0969966 | Medicaid | OH | |
| 196433 | Other | OH | WELLCARE |
| 341542312098 | Other | OH | CARESOURCE |
| 740117 | Other | OH | BCHP |
| P00448233 | Other | OH | RAILROAD CARE |
| 000000370582 | Other | OH | ANTHEM BC/BS |
| 000000380939 | Other | OH | ANTHEM BC/BS |
| 740121 | Other | OH | BCHP |
| P00368534 | Other | OH | CARERR |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 35065003 (Ohio) | 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. Susan A Neilsen allows following entities to bill medicare on her behalf.
| Entity Name | Southwest General Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740608306
PECOS PAC ID: 7012909245
Enrollment ID: O20040330001464 |
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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. Susan A Neilsen 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 A Neilsen, MD
15900 Snow Rd,
Brookpark, OH 44142-2859
Ph: (216) 265-0772 | Susan A Neilsen, MD
15900 Snow Rd,
Brookpark, OH 44142-2859
Ph: (216) 365-0772 |
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