Susan Jefferson, APN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Irvington, New Jersey. Her current practice location is
251 Munn Ave Apt 1a, Irvington, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 780-0098.
Susan Jefferson is licensed to practice in New Jersey (license number 26NJ01290400) 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 1851038723.
Physician's Profile
Full Name | Susan Jefferson |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 251 Munn Ave Apt 1a, Irvington, New Jersey |
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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: 1851038723
- Provider Enumeration Date: 05/12/2022
- Last Update Date: 05/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 3072982347
- Enrollment ID: I20221208000048
Medical Identifiers
Medical identifiers for Susan Jefferson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851038723 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 26NJ01290400 (New Jersey) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ01290400 (New Jersey) | 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 Jefferson allows following entities to bill medicare on her behalf.
Entity Name | Barnabas Health Medical Group, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447206420 PECOS PAC ID: 0648172809 Enrollment ID: O20040127000361 |
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Entity Name | Gold Standard Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043722853 PECOS PAC ID: 2961762554 Enrollment ID: O20180130000735 |
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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 Jefferson 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 Jefferson, APN Po Box 1180, Maplewood, NJ 07040-0453 Ph: () - | Susan Jefferson, APN 251 Munn Ave Apt 1a, Irvington, NJ 07111-5712 Ph: (973) 780-0098 |
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