Susan Marie Wassenhove, PA-C is a medicare enrolled "Physician Assistant" physician in Mishawaka, Indiana. Her current practice location is
812 W 4th St, Mishawaka, Indiana. You can reach out to her office (for appointments etc.) via phone at
(574) 255-1604.
Susan Marie Wassenhove is licensed to practice in Michigan (license number 5601001412) 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 1861420341.
Physician's Profile
| Full Name | Susan Marie Wassenhove |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 812 W 4th St, Mishawaka, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1861420341
- Provider Enumeration Date: 06/30/2006
- Last Update Date: 02/23/2011
Medicare PECOS Information:
- PECOS PAC ID: 2668473711
- Enrollment ID: I20080915000115
Medical Identifiers
Medical identifiers for Susan Marie Wassenhove such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861420341 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 1722 (Alaska) | Secondary |
| 363A00000X | Physician Assistant | 5601001412 (Michigan) | Primary |
| 363A00000X | Physician Assistant | 2692-23, (Wisconsin) | Secondary |
| 363A00000X | Physician Assistant | 4398 (Arizona) | Secondary |
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 Wassenhove 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 |
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Susan Marie Wassenhove, PA-C
812 W 4th Street,
Mishawaka, IN 46544
Ph: (574) 255-1604 | Susan Marie Wassenhove, PA-C
812 W 4th St,
Mishawaka, IN 46544-1738
Ph: (574) 255-1604 |
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