Susan M Sundback, CNP in Cleveland, OH - Medicare Nurse Practitioner

Susan M Sundback, CNP is a medicare enrolled "Nurse Practitioner - Family" in Cleveland, Ohio. Her current practice location is 2500 Metrohealth Dr, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 778-7800.

Susan M Sundback is licensed to practice in Ohio (license number COA.07286-NP) 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 1750308326.

Contact Information

	Susan M Sundback, CNP
	2500 Metrohealth Dr, Cleveland, OH 44109-1900
	(216) 778-7800
	Not Available

Map and Direction

Provider's Profile

Full Name	Susan M Sundback
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2500 Metrohealth Dr, Cleveland, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750308326
Provider Enumeration Date: 07/17/2006
Last Update Date: 12/27/2021

Medicare PECOS Information:

PECOS PAC ID: 8921136128
Enrollment ID: I20100510000080

Medical Identifiers

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

Identifier	Type	State	Issuer
1750308326	NPI	-	NPPES
2378127	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SE0003X	Clinical Nurse Specialist - Emergency	NS03593 (Ohio)	Secondary
363LF0000X	Nurse Practitioner - Family	COA.07286-NP (Ohio)	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 Sundback allows following entities to bill medicare on her behalf.

Entity Name	The Metrohealth System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053353896 PECOS PAC ID: 8628982949 Enrollment ID: O20031119000355

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 Sundback 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 M Sundback, CNP 2500 Metrohealth Dr, Cleveland, OH 44109-1900 Ph: (216) 778-4221	Susan M Sundback, CNP 2500 Metrohealth Dr, Cleveland, OH 44109-1900 Ph: (216) 778-7800

Reviews and Comments

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Susan M Sundback, CNP - Medicare Nurse Practitioner in Cleveland, OH