Susan Saucedo, MD is a medicare enrolled "Internal Medicine" physician in Allston, Massachusetts. Her current practice location is
287 Western Ave, Allston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 783-0500.
Susan Saucedo is licensed to practice in California (license number A95136) 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 1861551509.
Physician's Profile
Full Name | Susan Saucedo |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | 287 Western Ave, Allston, Massachusetts |
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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: 1861551509
- Provider Enumeration Date: 12/08/2006
- Last Update Date: 11/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 1658464607
- Enrollment ID: I20070906000637
Medical Identifiers
Medical identifiers for Susan Saucedo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861551509 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 238412 (Massachusetts) | Secondary |
207R00000X | Internal Medicine | A95136 (California) | 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 Saucedo allows following entities to bill medicare on her behalf.
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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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 Saucedo 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 Saucedo, MD 287 Western Ave, Allston, MA 02134-1010 Ph: (617) 783-0500 | Susan Saucedo, MD 287 Western Ave, Allston, MA 02134-1010 Ph: (617) 783-0500 |
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