Susan K Mathis, RN, APN is a
Clinical Nurse Specialist - Psychiatric/mental Health, Adult based in Medon, Tennessee. Susan K Mathis is licensed to practice in Tennessee (license number APN0000011878) and her current practice location is
615 Young Rd, Medon, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(731) 437-9424.
NPI number for Susan K Mathis is 1659608222 and her current mailing address is 615 Young Rd, Medon, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659608222.
Provider's Profile
| Full Name | Susan K Mathis |
|---|
| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Adult |
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| Location | 615 Young Rd, Medon, 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: 1659608222
- Provider Enumeration Date: 11/03/2009
- Last Update Date: 10/24/2013
Medical Identifiers
Medical identifiers for Susan K Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659608222 | NPI | - | NPPES |
| 327877 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN0000147422 (Tennessee) | Secondary |
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | APN0000011878 (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. Susan K Mathis 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 K Mathis, RN, APN
615 Young Rd,
Medon, TN 38356-6850
Ph: (731) 437-9424 | Susan K Mathis, RN, APN
615 Young Rd,
Medon, TN 38356-6850
Ph: (731) 437-9424 |
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