Susan E Dock, CRNP is a medicare enrolled "Nurse Practitioner" physician in Middleburg, Pennsylvania. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Evangelical Medical Services Organization and her current practice location is
412 W Market St, Middleburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 837-6163.
Susan E Dock is licensed to practice in Pennsylvania (license number SP019668) 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 1194296129.
Physician's Profile
| Full Name | Susan E Dock |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 412 W Market St, Middleburg, Pennsylvania |
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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 E Dock graduated from medical school in 2018
NPI Data:
- NPI Number: 1194296129
- Provider Enumeration Date: 12/17/2018
- Last Update Date: 06/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 5698012003
- Enrollment ID: I20190123002699
Medical Identifiers
Medical identifiers for Susan E Dock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194296129 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | SP019668 (Pennsylvania) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | SP019668 (Pennsylvania) | Secondary |
| 363L00000X | Nurse Practitioner | SP019668 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Evangelical Medical Services Organization | 9133033087 | 244 |
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 E Dock allows following entities to bill medicare on her behalf.
| Entity Name | Evangelical Medical Services Organization |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295834984
PECOS PAC ID: 9133033087
Enrollment ID: O20040310000212 |
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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 E Dock 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 E Dock, CRNP
155 Redcort Ln,
Middleburg, PA 17842-9101
Ph: (570) 809-2106 | Susan E Dock, CRNP
412 W Market St,
Middleburg, PA 17842-1076
Ph: (570) 837-6163 |
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