Susan Marie St Pierre, DO is a
Preventive Medicine - Addiction Medicine physician based in Novato, California. Susan Marie St Pierre is licensed to practice in Maine (license number 1409) and her current practice location is 1615 Hill Rd Ste 14, Novato, California. She can be reached at her office (for appointments etc.) via phone at
(415) 895-1441.
NPI number for Susan Marie St Pierre is 1720076458 and her current mailing address is 4 Scammon St Ste 19-200, Saco, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720076458.
Physician's Profile
| Full Name | Susan Marie St Pierre |
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| Gender | Female |
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| Speciality | Preventive Medicine - Addiction Medicine |
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| Location | 1615 Hill Rd Ste 14, Novato, California |
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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: 1720076458
- Provider Enumeration Date: 10/06/2005
- Last Update Date: 05/23/2024
Medical Identifiers
Medical identifiers for Susan Marie St Pierre such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720076458 | NPI | - | NPPES |
| 34330534 | Medicaid | NM | |
| 48178845 | Medicaid | CO | |
| 796386 | Medicaid | AZ | |
| 243530099 | Medicaid | ME | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 20A14943 (California) | Secondary |
| 207Q00000X | Family Medicine | 1409 (Maine) | Secondary |
| 2083A0300X | Preventive Medicine - Addiction Medicine | 1409 (Maine) | 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 Marie St Pierre 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 Marie St Pierre, DO
4 Scammon St Ste 19-200,
Saco, ME 04072-5121
Ph: () - | Susan Marie St Pierre, DO
1615 Hill Rd Ste 14,
Novato, CA 94947
Ph: (415) 895-1441 |
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