Susan Mathew, is a
Clinical Nurse Specialist - Adult Health based in Polacca, Arizona. Susan Mathew is licensed to practice in Oregon (license number 200270015CNS) and her current practice location is
Hwy 264, Mpp 388, Polacca, Arizona. She can be reached at her office (for appointments etc.) via phone at
(928) 737-6269.
NPI number for Susan Mathew is 1275957052 and her current mailing address is Po Box 4000, Polacca, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275957052.
Provider's Profile
Full Name | Susan Mathew |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Adult Health |
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Location | Hwy 264, Mpp 388, Polacca, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275957052
- Provider Enumeration Date: 02/13/2014
- Last Update Date: 02/13/2014
Medical Identifiers
Medical identifiers for Susan Mathew such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275957052 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SA2200X | Clinical Nurse Specialist - Adult Health | 200270015CNS (Oregon) | Primary |
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 Mathew is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Susan Mathew, Po Box 4000, Polacca, AZ 86042-4000 Ph: (928) 737-6269 | Susan Mathew, Hwy 264, Mpp 388, Polacca, AZ 86042-4000 Ph: (928) 737-6269 |
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