Dr Martine Susko Ott, CRNP in Phoenixville, PA

Dr Martine Susko Ott, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Phoenixville, Pennsylvania. Her current practice location is 1288 Valley Forge Road, Unit 54, Phoenixville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (267) 563-8180.

Dr Martine Susko Ott is licensed to practice in Pennsylvania (license number SP012228) 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 1205183589.

Contact Information

	Dr Martine Susko Ott, CRNP
	1288 Valley Forge Road, Unit 54, Phoenixville, PA 19460
	(267) 563-8180
	(484) 848-5195

Map and Direction

Provider's Profile

Full Name	Dr Martine Susko Ott
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1288 Valley Forge Road, Phoenixville, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205183589
Provider Enumeration Date: 08/06/2012
Last Update Date: 06/06/2023

Medicare PECOS Information:

PECOS PAC ID: 3971751512
Enrollment ID: I20120924000554

Medical Identifiers

Medical identifiers for Dr Martine Susko Ott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205183589	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	SP012228 (Pennsylvania)	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. Dr Martine Susko Ott allows following entities to bill medicare on her behalf.

Entity Name	Penn Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073572715 PECOS PAC ID: 0446246011 Enrollment ID: O20040421000664

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. Dr Martine Susko Ott 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
Dr Martine Susko Ott, CRNP 807 Lawn Ave, Sellersville, PA 18960-1549 Ph: (215) 257-6551	Dr Martine Susko Ott, CRNP 1288 Valley Forge Road, Unit 54, Phoenixville, PA 19460 Ph: (267) 563-8180

Reviews and Comments

Nurse Practitioner Nurses in Phoenixville, PA

Melissa Walsh, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1288 Valley Forge Rd Ste 54, Phoenixville, PA 19460 Phone: 267-563-8180 Fax: 484-848-5195
Cynthia A Scarborough, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 799 Gay St, Phoenixville, PA 19460 Phone: 610-933-2440 Fax: 610-935-7757
Tetiana Lyubovich, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 824 Main St Ste 306, Phoenixville, PA 19460 Phone: 610-983-1941
Jaclyn Ariel Tully, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 143 Church St, Phoenixville, PA 19460 Phone: 610-935-1134
Jacqueline A. Walsh, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 799 Gay St, Phoenixville, PA 19460 Phone: 610-933-2440 Fax: 610-935-7757
Jennifer Glocke, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 824 Main St Ste 201, Phoenixville, PA 19460 Phone: 484-938-4500 Fax: 484-924-9539
Mrs. Joanne T. Moser, MSN, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 212 Overcreek Rd, Phoenixville, PA 19460 Phone: 610-935-8524

Dr Martine Susko Ott, CRNP - Medicare Nurse Practitioner in Phoenixville, PA