Susann Mischke, NP in Santa Rosa, CA - Medicare Nurse Practitioner

Susann Mischke, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Santa Rosa, California. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Medical Foundation and her current practice location is 1165 Montgomery Dr, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 525-5300.

Susann Mischke is licensed to practice in California (license number 95014135) 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 1366067449.

Contact Information

	Susann Mischke, NP
	1165 Montgomery Dr, Santa Rosa, CA 95405-4801
	(707) 525-5300
	Not Available

Map and Direction

Provider's Profile

Full Name	Susann Mischke
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	1165 Montgomery Dr, Santa Rosa, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Susann Mischke graduated from nursing school in 2017

NPI Data:

NPI Number: 1366067449
Provider Enumeration Date: 06/14/2020
Last Update Date: 02/04/2021

Medicare PECOS Information:

PECOS PAC ID: 0547684631
Enrollment ID: I20200722001765

Medical Identifiers

Medical identifiers for Susann Mischke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366067449	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	95014135 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Santa Rosa Memorial Hospital	Santa rosa, CA	Hospital
Mendocino Coast District Hospital	Fort bragg, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1312

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. Susann Mischke allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Susann Mischke 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
Susann Mischke, NP 3030 Midway Dr, Santa Rosa, CA 95405-5170 Ph: (707) 547-7999	Susann Mischke, NP 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 Ph: (707) 525-5300

Reviews and Comments

Nurse Practitioner Nurses in Santa Rosa, CA

Peggy Walsh Goebel, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 Montgomery Dr, Santa Rosa, CA 95404 Phone: 707-585-7780 Fax: 707-585-7784
Julie Barlow, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-525-5207
Suzanne Watts Dedmore, RN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1110 N Dutton Ave, Santa Rosa, CA 95401 Phone: 707-303-3600
Amada Ligia Gomez, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1989 Citrine Way, Santa Rosa, CA 95404 Phone: 786-385-4492
Genesis Callejas-mir, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Mendocino Ave, Santa Rosa, CA 95401 Phone: 707-527-4445
Felipa Jones, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3317 Chanate Rd, Suite 2c, Santa Rosa, CA 95404 Phone: 707-570-1130 Fax: 707-571-2478
Cynthia R. Ingels, MSN,N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Doyle Park Dr, Suite 103, Santa Rosa, CA 95405 Phone: 707-579-1102

Susann Mischke, NP - Medicare Nurse Practitioner in Santa Rosa, CA