Susan M Settineri, MD - Medicare Pediatrics in Norfolk, VA

Susan M Settineri, MD is a medicare enrolled "Pediatrics" physician in Norfolk, Virginia. Her current practice location is 601 Childrens Ln, Norfolk, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 668-7007.

Susan M Settineri is licensed to practice in Virginia (license number 0101058237) 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 1679514368.

Contact Information

Susan M Settineri, MD
601 Childrens Ln,
Norfolk, VA 23507-1910
(757) 668-7007
(757) 668-8658

Map and Direction




Physician's Profile

Full NameSusan M Settineri
GenderFemale
SpecialityPediatrics
Location601 Childrens Ln, Norfolk, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679514368
  • Provider Enumeration Date: 06/10/2006
  • Last Update Date: 01/26/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 5597085795
  • Enrollment ID: I20150528001939

Medical Identifiers

Medical identifiers for Susan M Settineri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679514368NPI-NPPES
202007600MedicaidMD
0017876690001MedicaidPA
006726500MedicaidVA
8906267MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 0101058237 (Virginia)Primary
2080N0001XPediatrics - Neonatal-perinatal Medicine 0101058237 (Virginia)Secondary

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 M Settineri allows following entities to bill medicare on her behalf.
Entity NameChildrens Specialty Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255354130
PECOS PAC ID: 5890788764
Enrollment ID: O20040406001195
Entity NameChildrens Hospital Of The Kings Daughters Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578954590
PECOS PAC ID: 0941265284
Enrollment ID: O20150623001707

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 Settineri 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 AddressPractice Location Address
Susan M Settineri, MD
Po Box 79137,
Baltimore, MD 21279-0137

Ph: (757) 668-7200
Susan M Settineri, MD
601 Childrens Ln,
Norfolk, VA 23507-1910

Ph: (757) 668-7007

Reviews and Comments


Pediatrics Doctors in Norfolk, VA

Joshua Wayne Gollub,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 601 Childrens Ln, Norfolk, VA 23507
Phone: 757-668-7000    
Stephen C. Restaino, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 601 Childrens Ln, Norfolk, VA 23507
Phone: 757-668-7179    Fax: 757-668-9810
Michael Lee Smith, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 601 Childrens Ln, Norfolk, VA 23507
Phone: 757-668-7456    Fax: 757-668-9255
Phyllis R. Hope, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 601 Childrens Ln, Norfolk, VA 23507
Phone: 757-668-7456    Fax: 757-668-9255
Linda D Pegram, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 601 Childrens Ln, Norfolk, VA 23507
Phone: 757-668-7007    Fax: 757-668-8658
Ernette Yvonne Benson-foulk, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6345 Center Dr, Building 14, Norfolk, VA 23502
Phone: 757-461-4027    Fax: 757-461-8821
Monica G Baker, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 601 Childrens Ln, Norfolk, VA 23507
Phone: 757-668-7456    Fax: 757-668-9255

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.