Susan Gayle Villers, NP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Charleston, West Virginia. Her current practice location is
800 Pennsylvania Ave, Charleston, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 414-1880.
Susan Gayle Villers is licensed to practice in West Virginia (license number APRN57336) 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 1720574254.
Physician's Profile
| Full Name | Susan Gayle Villers |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 800 Pennsylvania Ave, Charleston, West Virginia |
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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: 1720574254
- Provider Enumeration Date: 07/09/2018
- Last Update Date: 10/16/2018
Medicare PECOS Information:
- PECOS PAC ID: 9032468293
- Enrollment ID: I20180821002299
Medical Identifiers
Medical identifiers for Susan Gayle Villers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720574254 | NPI | - | NPPES |
| 1720574254 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | F10171032 (West Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN57336 (West Virginia) | 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 Gayle Villers allows following entities to bill medicare on her behalf.
| Entity Name | Charleston Area Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124248752
PECOS PAC ID: 3375441637
Enrollment ID: O20031223000426 |
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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 Gayle Villers 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 Gayle Villers, NP-C
97 Great Teays Blvd Ste 6,
Scott Depot, WV 25560-9816
Ph: (304) 757-6999 | Susan Gayle Villers, NP-C
800 Pennsylvania Ave,
Charleston, WV 25302-3351
Ph: (304) 414-1880 |
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