Mrs Suzanne Korum, ARNP-BC in Jacksonville, FL

Mrs Suzanne Korum, ARNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Jacksonville, Florida. Her current practice location is 5150 Belfort Rd Bldg 400, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 580-4730.

Mrs Suzanne Korum is licensed to practice in Florida (license number ARNP1853762) 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 1093149569.

Contact Information

	Mrs Suzanne Korum, ARNP-BC
	5150 Belfort Rd Bldg 400, Jacksonville, FL 32256-6026
	(904) 580-4730
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Suzanne Korum
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	5150 Belfort Rd Bldg 400, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093149569
Provider Enumeration Date: 09/02/2013
Last Update Date: 01/17/2024

Medicare PECOS Information:

PECOS PAC ID: 6204065071
Enrollment ID: I20140128000958

Medical Identifiers

Medical identifiers for Mrs Suzanne Korum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093149569	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	ARNP1853762 (Florida)	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 Suzanne Korum allows following entities to bill medicare on her behalf.

Entity Name	South Palm Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114968914 PECOS PAC ID: 7315922713 Enrollment ID: O20040621000945

Entity Name	Palm Harbor Family Practice And Walk-in Clinic, P.a
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831311810 PECOS PAC ID: 9133108541 Enrollment ID: O20040719000940

Entity Name	Conviva Medical Center Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415

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 Suzanne Korum 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 Suzanne Korum, ARNP-BC 27 Flagler Pl, Palm Coast, FL 32137-8313 Ph: (813) 267-2040	Mrs Suzanne Korum, ARNP-BC 5150 Belfort Rd Bldg 400, Jacksonville, FL 32256-6026 Ph: (904) 580-4730

Reviews and Comments

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Mrs Suzanne Korum, ARNP-BC - Medicare Nurse Practitioner in Jacksonville, FL