Mrs Susan Edwards Surratt, FNP is a medicare enrolled "Family Medicine" in Surfside Beach, South Carolina. Her current practice location is
1600 Highway 17 N, Surfside Beach, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 238-1461.
Mrs Susan Edwards Surratt is licensed to practice in South Carolina (license number APN 1202) 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 1710996459.
Provider's Profile
| Full Name | Mrs Susan Edwards Surratt |
|---|
| Gender | Female |
|---|
| Speciality | Family Medicine |
|---|
| Location | 1600 Highway 17 N, Surfside Beach, South Carolina |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1710996459
- Provider Enumeration Date: 08/05/2006
- Last Update Date: 06/18/2012
Medicare PECOS Information:
- PECOS PAC ID: 3274677554
- Enrollment ID: I20100224000843
Medical Identifiers
Medical identifiers for Mrs Susan Edwards Surratt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710996459 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | APN1202 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | APN 1202 (South Carolina) | Primary |
| 207P00000X | Emergency Medicine | APN 1202 (South Carolina) | Secondary |
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 Susan Edwards Surratt allows following entities to bill medicare on her behalf.
| Entity Name | Doctors Care, Pa |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1366499048
PECOS PAC ID: 6204731300
Enrollment ID: O20040112000069 |
|---|
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 Susan Edwards Surratt 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 Susan Edwards Surratt, FNP
1818 Henderson St,
Columbia, SC 29201-2619
Ph: (843) 238-1461 | Mrs Susan Edwards Surratt, FNP
1600 Highway 17 N,
Surfside Beach, SC 29575-6015
Ph: (843) 238-1461 |
Reviews and Comments