Susanna Im, - Medicare Nurse Practitioner in Washington Township, NJ

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Susanna Im, is a medicare enrolled "Nurse Practitioner" in Washington Township, New Jersey. She went to Rowan University School Of Osteopathic Medicine and graduated in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kennedy Medical Group Practice, P.c. and her current practice location is 435 Hurffville - Cross Keys Rd, Washington Township, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 582-2500.

Susanna Im is licensed to practice in New Jersey (license number 26NJ01244400) 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 1003571621.

Contact Information

Susanna Im,
435 Hurffville - Cross Keys Rd,
Washington Township, NJ 08080
(856) 582-2500
Not Available

Map and Direction




Provider's Profile

Full NameSusanna Im
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location435 Hurffville - Cross Keys Rd, Washington Township, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Susanna Im attended and graduated from Rowan University School Of Osteopathic Medicine in 2021
  NPI Data:
  • NPI Number: 1003571621
  • Provider Enumeration Date: 11/08/2021
  • Last Update Date: 01/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6901299700
  • Enrollment ID: I20220131000003

Medical Identifiers

Medical identifiers for Susanna Im such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003571621NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 26NJ01244400 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jefferson Stratford HospitalStratford, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kennedy Medical Group Practice, P.c.2860616877310

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. Susanna Im allows following entities to bill medicare on her behalf.
Entity NameKennedy Medical Group Practice, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952726796
PECOS PAC ID: 2860616877
Enrollment ID: O20140613000689

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. Susanna Im 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 AddressPractice Location Address
Susanna Im,
92 Peregrine Dr,
Voorhees, NJ 08043-1661

Ph: (856) 246-2294		Susanna Im,
435 Hurffville - Cross Keys Rd,
Washington Township, NJ 08080

Ph: (856) 582-2500

Reviews and Comments


Nurse Practitioner Nurses in Washington Township, NJ


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.