Dr Susan Joanna Ireland, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Miami, Florida. She graduated from medical school in 1995 and has 30 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Public Health Trust Of Miami Dade County Florida and her current practice location is
1611 Nw 12th Ave, Rehabilitation Hospital Center, Miami, Florida. You can reach out to her office (for appointments etc.) via phone at
(305) 585-1267.
Dr Susan Joanna Ireland is licensed to practice in Florida (license number PY 5603) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154547164.
Healthcare Provider's Profile
| Full Name | Dr Susan Joanna Ireland |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 30 Years |
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| Location | 1611 Nw 12th Ave, Miami, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Susan Joanna Ireland graduated from medical school in 1995
NPI Data:
- NPI Number: 1154547164
- Provider Enumeration Date: 04/18/2007
- Last Update Date: 06/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 0345371811
- Enrollment ID: I20100628000072
Medical Identifiers
Medical identifiers for Dr Susan Joanna Ireland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154547164 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | PY5603 (Florida) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY 5603 (Florida) | Secondary |
| 103TH0100X | Psychologist - Health Service | PY 5603 (Florida) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | PY 5603 (Florida) | Secondary |
| 103TR0400X | Psychologist - Rehabilitation | PY 5603 (Florida) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PY 5603 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Public Health Trust Of Miami Dade County Florida | 0244380434 | 375 |
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. Dr Susan Joanna Ireland allows following entities to bill medicare on her behalf.
| Entity Name | Public Health Trust Of Miami Dade County Florida |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043395460
PECOS PAC ID: 8628981925
Enrollment ID: O20031117000037 |
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| Entity Name | Public Health Trust Of Miami Dade County Florida |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063417483
PECOS PAC ID: 8628981925
Enrollment ID: O20031217000574 |
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| Entity Name | Public Health Trust Of Miami Dade County Florida |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134384423
PECOS PAC ID: 0244380434
Enrollment ID: O20090610000019 |
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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. Dr Susan Joanna Ireland 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 |
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Dr Susan Joanna Ireland, PHD
430 Ne 52nd St,
Miami, FL 33137-3031
Ph: (305) 546-7674 | Dr Susan Joanna Ireland, PHD
1611 Nw 12th Ave, Rehabilitation Hospital Center,
Miami, FL 33136-1005
Ph: (305) 585-1267 |
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