Dr Susan Oleta Mattocks, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Miles City, Montana. Her current practice location is
2600 Wilson St, Suite 2, Miles City, Montana. You can reach out to her office (for appointments etc.) via phone at
(406) 233-4219.
Dr Susan Oleta Mattocks is licensed to practice in Montana (license number 363) 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 1417039918.
Healthcare Provider's Profile
Full Name | Dr Susan Oleta Mattocks |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 2600 Wilson St, Miles City, Montana |
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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: 1417039918
- Provider Enumeration Date: 10/20/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6305886037
- Enrollment ID: I20230526001384
Medical Identifiers
Medical identifiers for Dr Susan Oleta Mattocks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417039918 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 363 (Montana) | 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 Oleta Mattocks 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 Oleta Mattocks, PSYD 2600 Wilson St, Suite 2, Miles City, MT 59301-5094 Ph: (406) 233-4219 | Dr Susan Oleta Mattocks, PSYD 2600 Wilson St, Suite 2, Miles City, MT 59301-5094 Ph: (406) 233-4219 |
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