Susan King, APRN in Minnetonka, MN - Medicare Nurse Practitioner

Susan King, APRN is a medicare enrolled "Nurse Practitioner - Gerontology" in Minnetonka, Minnesota. Her current practice location is 9900 Bren Rd E, Minnetonka, Minnesota. You can reach out to her office (for appointments etc.) via phone at (860) 494-5784.

Susan King is licensed to practice in Connecticut (license number 006690) 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 1114472123.

Contact Information

	Susan King, APRN
	9900 Bren Rd E, Minnetonka, MN 55343-9664
	(860) 494-5784
	Not Available

Map and Direction

Provider's Profile

Full Name	Susan King
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	9900 Bren Rd E, Minnetonka, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114472123
Provider Enumeration Date: 08/19/2016
Last Update Date: 03/04/2021

Medicare PECOS Information:

PECOS PAC ID: 4688953151
Enrollment ID: I20171010001874

Medical Identifiers

Medical identifiers for Susan King such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114472123	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	006690 (Connecticut)	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 King allows following entities to bill medicare on her behalf.

Entity Name	Proactive Health Care Management,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811641145 PECOS PAC ID: 8022497874 Enrollment ID: O20220624000766

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 King 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 King, APRN 341 Rye St, Broad Brook, CT 06016-9563 Ph: (869) 798-7413	Susan King, APRN 9900 Bren Rd E, Minnetonka, MN 55343-9664 Ph: (860) 494-5784

Reviews and Comments

Nurse Practitioner Nurses in Minnetonka, MN

Mavis Osei Yeboah, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 336-549-6221
Alane Renee Hartlage, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 608-286-0556
Dawn M Schaefer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 414-477-9978
Rose M Paz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 Phone: 855-247-8847
Raul Rodriguez, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 915-218-8568
Ms. Susanna Monroe, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Unitedhealth Group Corporate Address, 9900 Bren Road East, Minnetonka, MN 55343 Phone: 941-875-5890
Karry Ermita Audain, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 305-432-1249

Susan King, APRN - Medicare Nurse Practitioner in Minnetonka, MN