Susan Bullard Staton, PT is a
Physical Therapist - Pediatrics based in Scotland Neck, North Carolina. Susan Bullard Staton is licensed to practice in North Carolina (license number 6171) and her current practice location is
728 Accree Edmundson Rd, Scotland Neck, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(252) 826-2099.
NPI number for Susan Bullard Staton is 1477504983 and her current mailing address is 728 Accree Edmundson Rd, Scotland Neck, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477504983.
Healthcare Provider's Profile
Full Name | Susan Bullard Staton |
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Gender | Female |
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Speciality | Physical Therapist - Pediatrics |
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Location | 728 Accree Edmundson Rd, Scotland Neck, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477504983
- Provider Enumeration Date: 05/12/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Susan Bullard Staton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477504983 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2251P0200X | Physical Therapist - Pediatrics | 6171 (North Carolina) | 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 Bullard Staton 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 Bullard Staton, PT 728 Accree Edmundson Rd, Scotland Neck, NC 27874-8564 Ph: (252) 826-2099 | Susan Bullard Staton, PT 728 Accree Edmundson Rd, Scotland Neck, NC 27874-8564 Ph: (252) 826-2099 |
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