Dr Susan T Addis, PHD in Mooresville, NC - Medicare Psychologist Provider

Dr Susan T Addis, PHD is a medicare enrolled "Psychologist - Clinical" provider in Mooresville, North Carolina. Her current practice location is 114 Hathaway Ln Unit 104, Mooresville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (352) 870-5302.

Dr Susan T Addis is licensed to practice in North Carolina (license number 6526) 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 1063533446.

Contact Information

	Dr Susan T Addis, PHD
	114 Hathaway Ln Unit 104, Mooresville, NC 28117-6226
	(352) 870-5302
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Susan T Addis
Gender	Female
Speciality	Psychologist - Clinical
Location	114 Hathaway Ln Unit 104, Mooresville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063533446
Provider Enumeration Date: 04/03/2007
Last Update Date: 05/07/2024

Medicare PECOS Information:

PECOS PAC ID: 4082505003
Enrollment ID: I20200326003715

Medical Identifiers

Medical identifiers for Dr Susan T Addis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063533446	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6526 (North Carolina)	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 T Addis allows following entities to bill medicare on her behalf.

Entity Name	Thrive Behavioral Sciences Tampa Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962989806 PECOS PAC ID: 2961747506 Enrollment ID: O20181231000019

Entity Name	Thrive Behavioral Sciences- Orlando Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063979730 PECOS PAC ID: 9739420654 Enrollment ID: O20190402002627

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 T Addis 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 T Addis, PHD 172 Williamson Road, Po Box 4442, Mooresville, NC 28117 Ph: (352) 870-5302	Dr Susan T Addis, PHD 114 Hathaway Ln Unit 104, Mooresville, NC 28117-6226 Ph: (352) 870-5302

Reviews and Comments

Psychologist in Mooresville, NC

Olivia Cometti, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 134 Infield Ct, Mooresville, NC 28117 Phone: 980-444-2730
Ms. Pamela Jane Meeds, PSY. D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 116 S. Main St., Suite 207, Mooresville, NC 28115 Phone: 704-662-0124 Fax: 704-662-9192
Douglas Lee Welsh, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 919 N Main St, Suite B, Mooresville, NC 28115 Phone: 704-660-6854
Shannon Taylor Brewer, MA, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 132 Joe V. Knox Ave, Suite 104, Mooresville, NC 28117 Phone: 704-663-6666 Fax: 704-663-5343
Mr. Phil Franklin Icard Ii, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 344 Rolling Hill Rd Ste 105, Mooresville, NC 28117 Phone: 704-662-5459 Fax: 704-663-2554
Dr. Deserie R Barragan, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 116 Frostcliff Ln, Mooresville, NC 28117 Phone: 805-704-9588

Dr Susan T Addis, PHD - Medicare Psychologist in Mooresville, NC