Susan Leddy, CNP is a medicare enrolled "Nurse Practitioner" in Wilmot, South Dakota. Her current practice location is
409 4th St, Wilmot, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 938-4351.
Susan Leddy is licensed to practice in South Dakota (license number R023955) 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 1447215207.
Provider's Profile
| Full Name | Susan Leddy |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 409 4th St, Wilmot, South Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1447215207
- Provider Enumeration Date: 04/17/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 8426077306
- Enrollment ID: I20051121000654
Medical Identifiers
Medical identifiers for Susan Leddy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447215207 | NPI | - | NPPES |
| R023955 | Other | SD | NURSE'S LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | R023955 (South Dakota) | 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 Leddy allows following entities to bill medicare on her behalf.
| Entity Name | Avera Mckennan |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003389206
PECOS PAC ID: 0345157103
Enrollment ID: O20031110000117 |
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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 Leddy 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 Leddy, CNP
14346 Sd Highway 15,
Milbank, SD 57252-5415
Ph: (605) 432-4790 | Susan Leddy, CNP
409 4th St,
Wilmot, SD 57279-2214
Ph: (605) 938-4351 |
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