Mrs Susanna Rae Crouch, APRN-BC, FNP is a
Internal Medicine - Gastroenterology based in Chattanooga, Tennessee. Mrs Susanna Rae Crouch is licensed to practice in Tennessee (license number 13252) and her current practice location is
2341 Mccallie Avenue. Plaza 3, Ste. 406., Gastroenterology Associates Of Chattanooga, Pc, Chattanooga, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(423) 648-8204.
NPI number for Mrs Susanna Rae Crouch is 1376703405 and her current mailing address is 2341 Mccallie Avenue. Plaza 3, Ste. 406, Gastroenterology Associates Of Chattanooga, Pc, Chattanooga, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376703405.
Provider's Profile
| Full Name | Mrs Susanna Rae Crouch |
|---|
| Gender | Female |
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| Speciality | Internal Medicine - Gastroenterology |
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| Location | 2341 Mccallie Avenue. Plaza 3, Ste. 406., Chattanooga, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1376703405
- Provider Enumeration Date: 06/12/2008
- Last Update Date: 09/27/2013
Medical Identifiers
Medical identifiers for Mrs Susanna Rae Crouch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376703405 | NPI | - | NPPES |
| 103I503608 | Other | TN | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 13252APNFNP (Tennessee) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 13252 (Tennessee) | Primary |
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 Susanna Rae Crouch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Susanna Rae Crouch, APRN-BC, FNP
2341 Mccallie Avenue. Plaza 3, Ste. 406, Gastroenterology Associates Of Chattanooga, Pc,
Chattanooga, TN 37404-3229
Ph: (423) 648-8204 | Mrs Susanna Rae Crouch, APRN-BC, FNP
2341 Mccallie Avenue. Plaza 3, Ste. 406., Gastroenterology Associates Of Chattanooga, Pc,
Chattanooga, TN 37404-3229
Ph: (423) 648-8204 |
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