Susan M Averitt, MD - Pediatrics in Springdale, AR

Susan M Averitt, MD is a Pediatrics physician based in Springdale, Arkansas. Susan M Averitt is licensed to practice in Arkansas (license number E2459) and her current practice location is 5501 Willow Creek Dr. Ste 203, Springdale, Arkansas. She can be reached at her office (for appointments etc.) via phone at (479) 575-9359.

NPI number for Susan M Averitt is 1356304091 and her current mailing address is 5501 Willow Creek Dr. Ste 203, Springdale, Arkansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356304091.

Contact Information

Susan M Averitt, MD
5501 Willow Creek Dr. Ste 203,
Springdale, AR 72762
(479) 575-9359
(479) 575-9415

Map and Direction




Physician's Profile

Full NameSusan M Averitt
GenderFemale
SpecialityPediatrics
Location5501 Willow Creek Dr. Ste 203, Springdale, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356304091
  • Provider Enumeration Date: 04/11/2006
  • Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Susan M Averitt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356304091NPI-NPPES
1324230001OtherOKPALMETTO DME
1356304091MedicaidMO
74502A050OtherOKCHAMPUS (WPS)
H14901OtherOKSTERLING OPTION 1
200016780AMedicaidOK
731310891028OtherOKTRICARE SOUTH
200016780AOtherOKSOONER PCP
140067001MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 23620 (Oklahoma)Secondary
208000000XPediatrics E2459 (Arkansas)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 M Averitt 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 AddressPractice Location Address
Susan M Averitt, MD
5501 Willow Creek Dr. Ste 203,
Springdale, AR 72762

Ph: (479) 757-8099
Susan M Averitt, MD
5501 Willow Creek Dr. Ste 203,
Springdale, AR 72762

Ph: (479) 575-9359

Reviews and Comments


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