Susan O Messerly, DO is a medicare enrolled "Pediatrics" physician in Medford, Wisconsin. Her current practice location is
143 S Gibson St, Medford, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 748-2121.
Susan O Messerly is licensed to practice in Wisconsin (license number 33749) 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 1447261706.
Physician's Profile
Full Name | Susan O Messerly |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 143 S Gibson St, Medford, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1447261706
- Provider Enumeration Date: 08/11/2006
- Last Update Date: 05/16/2012
Medicare PECOS Information:
- PECOS PAC ID: 9931139771
- Enrollment ID: I20050822000214
Medical Identifiers
Medical identifiers for Susan O Messerly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447261706 | NPI | - | NPPES |
30056100 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 33749 (Wisconsin) | Primary |
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 O Messerly allows following entities to bill medicare on her behalf.
Entity Name | Aspirus Medford Hospital & Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285703173 PECOS PAC ID: 5799688602 Enrollment ID: O20040129000007 |
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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 O Messerly 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 O Messerly, DO 143 South Gibson Street, Medford, WI 54451-1622 Ph: (715) 748-2121 | Susan O Messerly, DO 143 S Gibson St, Medford, WI 54451-1622 Ph: (715) 748-2121 |
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