Mallory Sussman, in Tampa, FL - Medicare Nurse Practitioner

Mallory Sussman, is a medicare enrolled "Nurse Practitioner - Family" in Tampa, Florida. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sage Infusion, Llc and her current practice location is 13511 Ironton Dr, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 340-5322.

Mallory Sussman is licensed to practice in Florida (license number APRN11004009) 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 1194375899.

Contact Information

	Mallory Sussman,
	13511 Ironton Dr, Tampa, FL 33626-2967
	(813) 340-5322
	Not Available

Map and Direction

Provider's Profile

Full Name	Mallory Sussman
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	13511 Ironton Dr, Tampa, Florida
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:

Mallory Sussman graduated from nursing school in 2019

NPI Data:

NPI Number: 1194375899
Provider Enumeration Date: 09/13/2019
Last Update Date: 03/25/2024

Medicare PECOS Information:

PECOS PAC ID: 6002206828
Enrollment ID: I20211209000427

Medical Identifiers

Medical identifiers for Mallory Sussman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194375899	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11004009 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sage Infusion, Llc	1254660467	22

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. Mallory Sussman allows following entities to bill medicare on her behalf.

Entity Name	Sage Infusion, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013578442 PECOS PAC ID: 1254660467 Enrollment ID: O20190913001321

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. Mallory Sussman 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
Mallory Sussman, 13511 Ironton Dr, Tampa, FL 33626-2967 Ph: () -	Mallory Sussman, 13511 Ironton Dr, Tampa, FL 33626-2967 Ph: (813) 340-5322

Reviews and Comments

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Mrs. Dawn Elizabeth White, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2901 W Saint Isabel St, Suite A3, Tampa, FL 33607 Phone: 813-872-4401
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Courtney Pariso, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 E 138th Ave, Suite 12, Tampa, FL 33613 Phone: 813-975-2800 Fax: 813-977-7631

Mallory Sussman, - Medicare Nurse Practitioner in Tampa, FL