Susan K Mozaffari, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Godfrey, Illinois. Her current practice location is
1820 Mozaffari Ln, Godfrey, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 466-5500.
Susan K Mozaffari is licensed to practice in Missouri (license number 102294) 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 1669443305.
Provider's Profile
Full Name | Susan K Mozaffari |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 1820 Mozaffari Ln, Godfrey, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669443305
- Provider Enumeration Date: 01/31/2006
- Last Update Date: 01/15/2008
Medicare PECOS Information:
- PECOS PAC ID: 1052215852
- Enrollment ID: I20031124000193
Medical Identifiers
Medical identifiers for Susan K Mozaffari such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669443305 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 102294 (Missouri) | 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. Susan K Mozaffari allows following entities to bill medicare on her behalf.
Entity Name | Comprehensive Anesthesia Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215975156 PECOS PAC ID: 5799698551 Enrollment ID: O20031107000275 |
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Entity Name | Eye Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528334182 PECOS PAC ID: 5698922581 Enrollment ID: O20120828000886 |
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Entity Name | Cpr Anesthesia Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326436353 PECOS PAC ID: 7416272927 Enrollment ID: O20200625003307 |
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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 Mozaffari 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 |
Susan K Mozaffari, CRNA 1820 Mozaffari Ln, Godfrey, IL 62035-1513 Ph: (618) 466-5500 | Susan K Mozaffari, CRNA 1820 Mozaffari Ln, Godfrey, IL 62035-1513 Ph: (618) 466-5500 |
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