Susan L Elizondo, MD is a
Family Medicine physician based in St Michaels, Arizona. Susan L Elizondo is licensed to practice in Massachusetts (license number 227968) and her current practice location is 359-a West Highway 264, St Michaels, Arizona. She can be reached at her office (for appointments etc.) via phone at
(928) 810-3800.
NPI number for Susan L Elizondo is 1033166038 and her current mailing address is Po Box 370, 359-a West Highway 264, St Michaels, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033166038.
Physician's Profile
| Full Name | Susan L Elizondo |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 359-a West Highway 264, St Michaels, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033166038
- Provider Enumeration Date: 05/27/2006
- Last Update Date: 09/17/2012
Medical Identifiers
Medical identifiers for Susan L Elizondo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033166038 | NPI | - | NPPES |
| Z135040 | Other | | MEDICARE PTAN |
| 156365 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 227968 (Massachusetts) | Primary |
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 L Elizondo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Susan L Elizondo, MD
Po Box 370, 359-a West Highway 264,
St Michaels, AZ 86511-0370
Ph: (928) 810-3800 | Susan L Elizondo, MD
359-a West Highway 264,
St Michaels, AZ 86511-0370
Ph: (928) 810-3800 |
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