Susan Elizabeth Dodge, CNM is a
Advanced Practice Midwife based in Gambrills, Maryland. Susan Elizabeth Dodge is licensed to practice in Virginia (license number 0024165401) and her current practice location is
2146 Hallmark Drive, Gambrills, Maryland. She can be reached at her office (for appointments etc.) via phone at
(301) 928-3485.
NPI number for Susan Elizabeth Dodge is 1245362656 and her current mailing address is 2146 Hallmark Dr, Gambrills, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245362656.
Provider's Profile
Full Name | Susan Elizabeth Dodge |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 2146 Hallmark Drive, Gambrills, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245362656
- Provider Enumeration Date: 03/12/2007
- Last Update Date: 05/28/2009
Medical Identifiers
Medical identifiers for Susan Elizabeth Dodge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245362656 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | 0024165401 (Virginia) | Primary |
367A00000X | Advanced Practice Midwife | R147704 (Maryland) | Secondary |
367A00000X | Advanced Practice Midwife | RN964344 (District Of Columbia) | Secondary |
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. Susan Elizabeth Dodge 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 |
Susan Elizabeth Dodge, CNM 2146 Hallmark Dr, Gambrills, MD 21054-2127 Ph: (301) 928-3485 | Susan Elizabeth Dodge, CNM 2146 Hallmark Drive, Gambrills, MD 21054-2127 Ph: (301) 928-3485 |
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