Dr Susan Marie Yatzun, DPM is a medicare enrolled "Podiatrist" provider in Cedar Grove, Tennessee. Her current practice location is
660 Moss Creek Rd, Cedar Grove, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(731) 987-2299.
Dr Susan Marie Yatzun is licensed to practice in Tennessee (license number DPM000364) 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 1366540338.
Healthcare Provider's Profile
Full Name | Dr Susan Marie Yatzun |
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Gender | Female |
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Speciality | Podiatrist |
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Location | 660 Moss Creek Rd, Cedar Grove, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366540338
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4486829736
- Enrollment ID: I20111214000921
Medical Identifiers
Medical identifiers for Dr Susan Marie Yatzun such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366540338 | NPI | - | NPPES |
3351710 | Medicaid | TN | |
0177643 | Other | TN | BCBS OF TN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | DPM000364 (Tennessee) | 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. Dr Susan Marie Yatzun 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 |
Dr Susan Marie Yatzun, DPM 660 Moss Creek Rd, Cedar Grove, TN 38321-7260 Ph: (731) 987-2299 | Dr Susan Marie Yatzun, DPM 660 Moss Creek Rd, Cedar Grove, TN 38321-7260 Ph: (731) 987-2299 |
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