Mrs Sueky Marie Moeller, DNP, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Pipestone, Minnesota. Her current practice location is
609 4th Ave Sw, Pipestone, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(701) 388-1153.
Mrs Sueky Marie Moeller is licensed to practice in Minnesota (license number 11070) 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 1912774597.
Provider's Profile
Full Name | Mrs Sueky Marie Moeller |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 609 4th Ave Sw, Pipestone, Minnesota |
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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: 1912774597
- Provider Enumeration Date: 12/05/2023
- Last Update Date: 12/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 5193161057
- Enrollment ID: I20240313003581
Medical Identifiers
Medical identifiers for Mrs Sueky Marie Moeller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912774597 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 11070 (Minnesota) | 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. Mrs Sueky Marie Moeller allows following entities to bill medicare on her behalf.
Entity Name | Pipestone County Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447300587 PECOS PAC ID: 0840109682 Enrollment ID: O20031105000578 |
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Entity Name | Pipestone County Medical Center |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1598751240 PECOS PAC ID: 0840109682 Enrollment ID: O20061121000734 |
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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. Mrs Sueky Marie Moeller 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 Sueky Marie Moeller, DNP, FNP-C 609 4th Ave Sw, Pipestone, MN 56164-1532 Ph: (701) 388-1153 | Mrs Sueky Marie Moeller, DNP, FNP-C 609 4th Ave Sw, Pipestone, MN 56164-1532 Ph: (701) 388-1153 |
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