Susan M Klotz, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Ash Grove, Missouri. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
609 E Wells St Ste B, Ash Grove, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 234-3621.
Susan M Klotz is licensed to practice in Missouri (license number 2013012284) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033555933.
Provider's Profile
| Full Name | Susan M Klotz |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 12 Years |
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| Location | 609 E Wells St Ste B, Ash Grove, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Susan M Klotz graduated from nursing school in 2012
NPI Data:
- NPI Number: 1033555933
- Provider Enumeration Date: 05/17/2013
- Last Update Date: 07/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 9830332659
- Enrollment ID: I20130827000369
Medical Identifiers
Medical identifiers for Susan M Klotz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033555933 | NPI | - | NPPES |
| 1033555933 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 2013012284 (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 M Klotz allows following entities to bill medicare on her behalf.
| Entity Name | Your Health Consultant |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134738735
PECOS PAC ID: 2466879424
Enrollment ID: O20200904001842 |
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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 M Klotz 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 |
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Susan M Klotz, FNP-C
12374 W Farm Road 60,
Ash Grove, MO 65604-8766
Ph: (417) 234-3621 | Susan M Klotz, FNP-C
609 E Wells St Ste B,
Ash Grove, MO 65604-9087
Ph: (417) 234-3621 |
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