Amy Jo Suomi, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Two Harbors, Minnesota. She went to University Of North Dakota School Of Medicine and graduated in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lake View Memorial Hospital, Incorporated and her current practice location is
325 11th Ave, Two Harbors, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 834-7700.
Amy Jo Suomi is licensed to practice in Minnesota (license number 1723328) 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 1205498631.
Provider's Profile
| Full Name | Amy Jo Suomi |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 325 11th Ave, Two Harbors, Minnesota |
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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. |
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Medical Education and Training:
- Amy Jo Suomi attended and graduated from University Of North Dakota School Of Medicine in 2019
NPI Data:
- NPI Number: 1205498631
- Provider Enumeration Date: 07/06/2019
- Last Update Date: 10/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 0143551085
- Enrollment ID: I20191008001903
Medical Identifiers
Medical identifiers for Amy Jo Suomi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205498631 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1723328 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lake View Memorial Hospital, Incorporated | 9032002688 | 11 |
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. Amy Jo Suomi allows following entities to bill medicare on her behalf.
| Entity Name | Lake View Memorial Hospital, Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023067642
PECOS PAC ID: 9032002688
Enrollment ID: O20040206000105 |
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| Entity Name | Human Development Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194790733
PECOS PAC ID: 2961485909
Enrollment ID: O20040610000602 |
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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. Amy Jo Suomi 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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Amy Jo Suomi,
325 11th Ave,
Two Harbors, MN 55616-1300
Ph: (218) 834-7700 | Amy Jo Suomi,
325 11th Ave,
Two Harbors, MN 55616-1300
Ph: (218) 834-7700 |
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