Susan Mary Potter, FNP is a medicare enrolled "Nurse Practitioner" physician in Sherman, Texas. She graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Midwest Hospital Medicine Associates Pc and her current practice location is
500 N Highland Ave, Sherman, Texas. You can reach out to her office (for appointments etc.) via phone at
(512) 730-3056.
Susan Mary Potter is licensed to practice in Oklahoma (license number 205349) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1831270420.
Physician's Profile
Full Name | Susan Mary Potter |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 30 Years |
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Location | 500 N Highland Ave, Sherman, Texas |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Susan Mary Potter graduated from medical school in 1994
NPI Data:
- NPI Number: 1831270420
- Provider Enumeration Date: 10/18/2006
- Last Update Date: 06/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 2860409794
- Enrollment ID: I20211005000965
Medical Identifiers
Medical identifiers for Susan Mary Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831270420 | NPI | - | NPPES |
8N9964 | Other | TX | BLUE CROSS & BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 520140 (Texas) | Secondary |
363L00000X | Nurse Practitioner | 520140 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP106025 (Texas) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | AP106025 (Tennessee) | Secondary |
363L00000X | Nurse Practitioner | 205349 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Midwest Hospital Medicine Associates Pc | 4880841618 | 16 |
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 Mary Potter allows following entities to bill medicare on her behalf.
Entity Name | Lawton Emergency Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518003656 PECOS PAC ID: 9537265392 Enrollment ID: O20070511000067 |
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Entity Name | Emergency Services Of Oklahoma Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
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Entity Name | Midwest Hospital Medicine Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124388855 PECOS PAC ID: 4880841618 Enrollment ID: O20120829000397 |
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Entity Name | Emergency Physicians Of Mid-america Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063825297 PECOS PAC ID: 2062638661 Enrollment ID: O20140716001692 |
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Entity Name | Oklahoma Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417577305 PECOS PAC ID: 5597186940 Enrollment ID: O20200610003448 |
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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 Mary Potter 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 |
Susan Mary Potter, FNP 7500 Rialto Blvd Ste 1-140, Austin, TX 78735-8534 Ph: (512) 730-3056 | Susan Mary Potter, FNP 500 N Highland Ave, Sherman, TX 75092-7354 Ph: (512) 730-3056 |
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