Dr Bradley David Sussner, PHD in Lyons, NJ - Medicare Psychologist Provider

Dr Bradley David Sussner, PHD is a medicare enrolled "Psychologist - Clinical" provider in Lyons, New Jersey. His current practice location is 151 Knollcroft Rd Bldg 143 # 116a, Lyons, New Jersey. You can reach out to his office (for appointments etc.) via phone at (908) 647-0108.

Dr Bradley David Sussner is licensed to practice in New Jersey (license number 35S100412600) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740294529.

Contact Information

	Dr Bradley David Sussner, PHD
	151 Knollcroft Rd Bldg 143 # 116a, Lyons, NJ 07939-5001
	(908) 647-0108
	(908) 604-5253

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Bradley David Sussner
Gender	Male
Speciality	Psychologist - Clinical
Location	151 Knollcroft Rd Bldg 143 # 116a, Lyons, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740294529
Provider Enumeration Date: 07/28/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4789863309
Enrollment ID: I20140610000976

Medical Identifiers

Medical identifiers for Dr Bradley David Sussner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740294529	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	35S100412600 (New Jersey)	Primary
103TC0700X	Psychologist - Clinical	015455 (New York)	Secondary

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 Bradley David Sussner 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 Bradley David Sussner, PHD 8 Washington Ave, Warren, NJ 07059-5726 Ph: (908) 561-0431	Dr Bradley David Sussner, PHD 151 Knollcroft Rd Bldg 143 # 116a, Lyons, NJ 07939-5001 Ph: (908) 647-0108

Reviews and Comments

Psychologist in Lyons, NJ

Dr. Ira Emanuel Wisotzek, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 151 Knollcroft Rd, Mental Health And Behavioral Science, Lyons, NJ 07939 Phone: 908-647-0180
Dr. Danielle Eftaxas, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 151 Knollcroft Rd, Lyons, NJ 07939 Phone: 908-647-0180
Anthony Fortuna, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 151 Knollcroft Rd, Lyons, NJ 07939 Phone: 908-647-0180
Dr. Keri Ryan, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 151 Knollcroft Rd, Building 57, Lyons, NJ 07939 Phone: 908-647-0180
Dr. Melissa Frankford, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 151 Knollcroft Rd, Lyons, NJ 07939 Phone: 908-647-0180
Dr. Miriam Latorre, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 151 Knollcroft Rd, Lyons, NJ 07939 Phone: 908-647-0180 Fax: 908-604-5273
Risa M. Goldstein, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 151 Knollcroft Rd, Lyons, NJ 07939 Phone: 908-647-0180 Fax: 908-604-5258

Dr Bradley David Sussner, PHD - Medicare Psychologist in Lyons, NJ