Shawn T Sussmane, OD - Medicare Optometrist in Knoxville, TN

Shawn T Sussmane, OD is a medicare enrolled "Optometrist" provider in Knoxville, Tennessee. He graduated from medical school in 1999 and has 26 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Campbell Cunningham Taylor Pc and his current practice location is 1124 E Weisgarber Rd Ste 104, Knoxville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 584-2127.

Shawn T Sussmane is licensed to practice in Florida (license number OPC6391) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386644151.

Contact Information

Shawn T Sussmane, OD
1124 E Weisgarber Rd Ste 104,
Knoxville, TN 37909-2686
(865) 584-2127
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShawn T Sussmane
GenderMale
SpecialityOptometry
Experience26 Years
Location1124 E Weisgarber Rd Ste 104, Knoxville, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shawn T Sussmane graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1386644151
  • Provider Enumeration Date: 07/22/2005
  • Last Update Date: 05/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8224023254
  • Enrollment ID: I20040419000448

Medical Identifiers

Medical identifiers for Shawn T Sussmane such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386644151NPI-NPPES
4025051OtherTNBCBS
3944150MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist TN2032 (Tennessee)Secondary
152W00000XOptometrist OPC6391 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Campbell Cunningham Taylor Pc024421656217

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. Shawn T Sussmane allows following entities to bill medicare on his behalf.
Provider NameCampbell Cunningham Taylor Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1407850944
PECOS PAC ID: 0244216562
Enrollment ID: O20040628000593

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. Shawn T Sussmane 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
Shawn T Sussmane, OD
Po Box 100284,
Gainesville, FL 32610-0284

Ph: (352) 273-8778
Shawn T Sussmane, OD
1124 E Weisgarber Rd Ste 104,
Knoxville, TN 37909-2686

Ph: (865) 584-2127

Reviews and Comments


Optometrist in Knoxville, TN

Dr. Michael Harry Cho, O.D.
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Phone: 865-545-4592    Fax: 865-545-4488
Dr. Lacey Dillard Puckett, O.D.
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Practice Location: 3001 Knoxville Center Dr, Suite 2294, Knoxville, TN 37924
Phone: 865-544-1677    Fax: 865-525-3467
Dr. Max E Zolman, O.D.
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Practice Location: 6777 Clinton Hwy, Knoxville, TN 37912
Phone: 865-938-6769    
Gregory S Everett, OD
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Medicare: Accepting Medicare Assignments
Practice Location: 1124 E Weisgarber Rd, Knoxville, TN 37909
Phone: 865-584-0905    Fax: 865-584-3892
Frank A Carusone, O.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 715 Callahan Dr, Knoxville, TN 37912
Phone: 865-687-1232    Fax: 865-687-8256
Joseph T Manning, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 11124 Kingston Pike, Suite 127, Knoxville, TN 37934
Phone: 865-966-2020    Fax: 865-966-7332
David Hunter Miller, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 9409 S Northshore Dr, Suite 101, Knoxville, TN 37922
Phone: 865-694-2622    Fax: 865-694-2650

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.