Victoria J Susa, DPT is a medicare enrolled "Physical Therapist" provider in Baker, Montana. Her current practice location is
202 S 4th St W, Baker, Montana. You can reach out to her office (for appointments etc.) via phone at
(406) 778-3331.
Victoria J Susa is licensed to practice in Montana (license number PT PPT LIC 6014) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215368220.
Healthcare Provider's Profile
| Full Name | Victoria J Susa |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 202 S 4th St W, Baker, Montana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215368220
- Provider Enumeration Date: 12/02/2013
- Last Update Date: 06/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 9638538143
- Enrollment ID: I20230630001939
Medical Identifiers
Medical identifiers for Victoria J Susa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215368220 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | PT PPT LIC 6014 (Montana) | Primary |
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. Victoria J Susa allows following entities to bill medicare on her behalf.
| Provider Name | Fallon Medical Complex Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1386700763
PECOS PAC ID: 0941119499
Enrollment ID: O20040614000391 |
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| Provider Name | Fallon Medical Complex Inc |
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| Provider Type | Part A Provider - Critical Access Hospital |
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| Provider Identifiers | NPI Number: 1316965346
PECOS PAC ID: 0941119499
Enrollment ID: O20061104000600 |
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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. Victoria J Susa 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 |
|---|
Victoria J Susa, DPT
Po Box 820,
Baker, MT 59313-0820
Ph: (406) 778-3331 | Victoria J Susa, DPT
202 S 4th St W,
Baker, MT 59313-9156
Ph: (406) 778-3331 |
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