Susan Diane Ott Heasley, DO is a medicare enrolled "Family Medicine" physician in Cheney, Kansas. She went to Kansas City University Of Med & Biosciences, College Of Osteo Med and graduated in 2006 and has 19 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Hutchinson Clinic P A Inc and her current practice location is
103 N Main St, Cheney, Kansas. You can reach out to her office (for appointments etc.) via phone at
(620) 259-6221.
Susan Diane Ott Heasley is licensed to practice in Kansas (license number 05-45046) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336360254.
Physician's Profile
| Full Name | Susan Diane Ott Heasley |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 19 Years |
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| Location | 103 N Main St, Cheney, Kansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Susan Diane Ott Heasley attended and graduated from Kansas City University Of Med & Biosciences, College Of Osteo Med in 2006
NPI Data:
- NPI Number: 1336360254
- Provider Enumeration Date: 05/01/2007
- Last Update Date: 02/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 2769653070
- Enrollment ID: I20210907001603
Medical Identifiers
Medical identifiers for Susan Diane Ott Heasley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336360254 | NPI | - | NPPES |
| 431560263 | Other | MO | TRICARE |
| 1336360254 | Medicaid | MO | |
| P00985977 | Other | MO | RR MCR |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 2011020340 (Missouri) | Secondary |
| 207R00000X | Internal Medicine | 6554 (Kansas) | Secondary |
| 207Q00000X | Family Medicine | 05-45046 (Kansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Hutchinson Clinic P A Inc | 5597658492 | 105 |
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 Diane Ott Heasley allows following entities to bill medicare on her behalf.
| Entity Name | Hutchinson Clinic P A Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043298474
PECOS PAC ID: 5597658492
Enrollment ID: O20040204000969 |
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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 Diane Ott Heasley 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 |
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Susan Diane Ott Heasley, DO
2101 N Waldron St,
Hutchinson, KS 67502-1197
Ph: (620) 669-2500 | Susan Diane Ott Heasley, DO
103 N Main St,
Cheney, KS 67025-8844
Ph: (620) 259-6221 |
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