Susan Wolcott, LM, CPM, RN is a
Midwife based in Mount Shasta, California. Susan Wolcott is licensed to practice in California (license number 166) and her current practice location is
703 S A St, Mount Shasta, California. She can be reached at her office (for appointments etc.) via phone at
(562) 334-5706.
NPI number for Susan Wolcott is 1952334278 and her current mailing address is 5105 Plum Ave, Mount Shasta, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952334278.
Provider's Profile
| Full Name | Susan Wolcott |
|---|
| Gender | Female |
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| Speciality | Midwife |
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| Location | 703 S A St, Mount Shasta, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1952334278
- Provider Enumeration Date: 07/09/2006
- Last Update Date: 06/20/2018
Medical Identifiers
Medical identifiers for Susan Wolcott such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952334278 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WP1700X | Registered Nurse - Perinatal | 619799 (California) | Secondary |
| 176B00000X | Midwife | 166 (California) | 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 Wolcott 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 Wolcott, LM, CPM, RN
5105 Plum Ave,
Mount Shasta, CA 96067-9155
Ph: (530) 926-5395 | Susan Wolcott, LM, CPM, RN
703 S A St,
Mount Shasta, CA 96067
Ph: (562) 334-5706 |
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