Mrs Marie Maude Sussman, NP is a medicare enrolled "Nurse Practitioner" in West Union, South Carolina. Her current practice location is
1205 N Hwy 11, West Union, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 638-5402.
Mrs Marie Maude Sussman is licensed to practice in New York (license number F420414-1) 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 1043470966.
Provider's Profile
Full Name | Mrs Marie Maude Sussman |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 1205 N Hwy 11, West Union, South Carolina |
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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: 1043470966
- Provider Enumeration Date: 06/13/2008
- Last Update Date: 10/15/2012
Medicare PECOS Information:
- PECOS PAC ID: 9436144763
- Enrollment ID: I20160523000023
Medical Identifiers
Medical identifiers for Mrs Marie Maude Sussman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043470966 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | F420414-1 (New York) | Primary |
363L00000X | Nurse Practitioner | 18034 (South Carolina) | Secondary |
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. Mrs Marie Maude 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 |
Mrs Marie Maude Sussman, NP 282 Jocassee Ridge Way, Salem, SC 29676 Ph: (914) 391-8853 | Mrs Marie Maude Sussman, NP 1205 N Hwy 11, West Union, SC 29696 Ph: (864) 638-5402 |
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