Susannah Bauer Van Dyke, NP in Charlotte, NC - Medicare Nurse Practitioner

Susannah Bauer Van Dyke, NP is a medicare enrolled "Nurse Practitioner" in Charlotte, North Carolina. She went to Georgetown University School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Novant Medical Group Inc and her current practice location is 200 Greenwich Rd, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 384-8680.

Susannah Bauer Van Dyke is licensed to practice in North Carolina (license number 5006906) 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 1801917703.

Contact Information

	Susannah Bauer Van Dyke, NP
	200 Greenwich Rd, Charlotte, NC 28211-2316
	(704) 384-8680
	Not Available

Map and Direction

Provider's Profile

Full Name	Susannah Bauer Van Dyke
Gender	Female
Speciality	Nurse Practitioner
Experience	22 Years
Location	200 Greenwich Rd, Charlotte, North Carolina
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:

Susannah Bauer Van Dyke attended and graduated from Georgetown University School Of Medicine in 2002

NPI Data:

NPI Number: 1801917703
Provider Enumeration Date: 04/02/2007
Last Update Date: 11/15/2022

Medicare PECOS Information:

PECOS PAC ID: 0840419230
Enrollment ID: I20140917001183

Medical Identifiers

Medical identifiers for Susannah Bauer Van Dyke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801917703	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F334136 (New York)	Secondary
363L00000X	Nurse Practitioner	5006906 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Novant Health Matthews Medical Center	Matthews, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Novant Medical Group Inc	1153234893	2023

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. Susannah Bauer Van Dyke allows following entities to bill medicare on her behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

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. Susannah Bauer Van Dyke 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
Susannah Bauer Van Dyke, NP Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 384-8680	Susannah Bauer Van Dyke, NP 200 Greenwich Rd, Charlotte, NC 28211-2316 Ph: (704) 384-8680

Reviews and Comments

Nurse Practitioner Nurses in Charlotte, NC

Melissa E Jesse, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2236 Shenandoah Ave, Charlotte, NC 28205 Phone: 704-999-9857
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Melissa Renee Flood, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Harding Pl, Ste 5100, Charlotte, NC 28204 Phone: 704-355-8850
Anna Philbeck Burgess, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4135 Southstream Blvd, Charlotte, NC 28217 Phone: 704-631-1200
Stephanie Dawn Ferlic, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6900 Farmingdale Dr, Charlotte, NC 28212 Phone: 704-910-5810
Brooke Alyssa Davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2711 Randolph Rd Ste 400, Charlotte, NC 28207 Phone: 704-342-1900 Fax: 704-377-0353
Angela Devincent Booth, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840

Susannah Bauer Van Dyke, NP - Medicare Nurse Practitioner in Charlotte, NC