Dr Susan R King, PSYD in Estero, FL - Medicare Psychologist Provider

Dr Susan R King, PSYD is a medicare enrolled "Psychologist" provider in Estero, Florida. Her current practice location is 3501 Health Center Blvd, Estero, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 468-0300.

Dr Susan R King is licensed to practice in Florida (license number PY6846) 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 1013093624.

Contact Information

	Dr Susan R King, PSYD
	3501 Health Center Blvd, Estero, FL 34135-8127
	(239) 468-0300
	(239) 343-4257

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Susan R King
Gender	Female
Speciality	Psychologist
Location	3501 Health Center Blvd, Estero, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013093624
Provider Enumeration Date: 10/27/2006
Last Update Date: 10/26/2022

Medicare PECOS Information:

PECOS PAC ID: 4587647318
Enrollment ID: I20040611000315

Medical Identifiers

Medical identifiers for Dr Susan R King such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013093624	NPI	-	NPPES
102285100	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY6846 (Florida)	Secondary
103T00000X	Psychologist	PY6846 (Florida)	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. Dr Susan R King allows following entities to bill medicare on her behalf.

Entity Name	Lee Memorial Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604

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 R King 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 R King, PSYD Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-6050	Dr Susan R King, PSYD 3501 Health Center Blvd, Estero, FL 34135-8127 Ph: (239) 468-0300

Reviews and Comments

Psychologist in Estero, FL

Eileen Lyons, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9180 Estero Park Commons Blvd, Unit 2, Estero, FL 33928 Phone: 239-898-2021
Mr. Daniel Jay Frank, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5051 Indigo Bay Blvd, 102, Estero, FL 33928 Phone: 914-815-5775
Miss Diana Josefina Chavez, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 23450 Via Coconut Pt, Estero, FL 34135 Phone: 239-468-0150 Fax: 239-343-4056
Dr. Joseph William Bascuas, PH.D PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20111 Cheetah Ln, Estero, FL 33928 Phone: 239-444-6995
Gesenia S Sloan-pena, MA Psychologist Medicare: Accepting Medicare Assignments Practice Location: 20301 Grande Oak Shoppes Blvd # 118-58, Estero, FL 33928 Phone: 954-803-9002
Dr. Victoria Frehe-torres, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9250 Corkscrew Rd #12, Estero, FL 33928 Phone: 239-799-6952 Fax: 239-366-4006

Dr Susan R King, PSYD - Medicare Psychologist in Estero, FL