Dr Susannah More, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Geneva, Illinois. Her current practice location is
302 Randall Rd, Geneva, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 524-5845.
Dr Susannah More is licensed to practice in Illinois (license number 071.007768) 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 1770828287.
Healthcare Provider's Profile
| Full Name | Dr Susannah More |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 302 Randall Rd, Geneva, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770828287
- Provider Enumeration Date: 12/10/2012
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 9739314329
- Enrollment ID: I20131107001070
Medical Identifiers
Medical identifiers for Dr Susannah More such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770828287 | NPI | - | NPPES |
| F400100849 | Other | IL | MEDICARE (INDIVIDUAL PTAN) |
| 071007768 | Medicaid | IL | |
| 206147 | Other | IL | MEDICARE (GROUP PTAN) |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 071.007768 (Illinois) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 071.007768 (Illinois) | 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 Susannah More allows following entities to bill medicare on her behalf.
| Entity Name | Central Dupage Physician Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033149844
PECOS PAC ID: 5890696231
Enrollment ID: O20040303000601 |
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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 Susannah More 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 Susannah More, PHD
302 Randall Rd,
Geneva, IL 60134-4209
Ph: (630) 524-5845 | Dr Susannah More, PHD
302 Randall Rd,
Geneva, IL 60134-4209
Ph: (630) 524-5845 |
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