Mrs Susan W Flores, NP-C is a medicare enrolled "Nurse Practitioner - Neonatal" in Victor, Idaho. Her current practice location is
1906 Autumn Glen Cir, Victor, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 201-4774.
Mrs Susan W Flores is licensed to practice in Arizona (license number AP4797) 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 1023303260.
Provider's Profile
| Full Name | Mrs Susan W Flores |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Neonatal |
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| Location | 1906 Autumn Glen Cir, Victor, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1023303260
- Provider Enumeration Date: 06/16/2011
- Last Update Date: 10/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 1759553704
- Enrollment ID: I20130626000494
Medical Identifiers
Medical identifiers for Mrs Susan W Flores such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023303260 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | NP-1071A (Idaho) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 20778.1114 (Wyoming) | Secondary |
| 363LN0000X | Nurse Practitioner - Neonatal | AP4797 (Arizona) | 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 Susan W Flores allows following entities to bill medicare on her behalf.
| Entity Name | Bradley B Bailey Md And Roger B Schechter Md Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831349315
PECOS PAC ID: 6204987407
Enrollment ID: O20240912001378 |
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| Entity Name | Arizona Mobile Wound Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942022272
PECOS PAC ID: 8123554466
Enrollment ID: O20241210000874 |
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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 Susan W Flores 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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Mrs Susan W Flores, NP-C
1906 Autumn Glen Cir,
Victor, ID 83455-4629
Ph: (208) 201-4774 | Mrs Susan W Flores, NP-C
1906 Autumn Glen Cir,
Victor, ID 83455-4629
Ph: (208) 201-4774 |
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