Susan Haydar, PHD in Appleton, WI - Medicare Clinical Psychologist Provider

Susan Haydar, PHD is a medicare enrolled "Psychologist - Clinical" provider in Appleton, Wisconsin. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Total Life Inc and her current practice location is 5471 W Waterford Ln, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 731-7445.

Susan Haydar is licensed to practice in Wisconsin (license number 3665-57) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1730452400.

Contact Information

	Susan Haydar, PHD
	5471 W Waterford Ln, Appleton, WI 54913-8510
	(920) 731-7445
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Susan Haydar
Gender	Female
Speciality	Clinical Psychologist
Experience	18 Years
Location	5471 W Waterford Ln, Appleton, Wisconsin
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Susan Haydar graduated from medical school in 2006

NPI Data:

NPI Number: 1730452400
Provider Enumeration Date: 02/10/2012
Last Update Date: 05/01/2019

Medicare PECOS Information:

PECOS PAC ID: 7618132135
Enrollment ID: I20200803002092

Medical Identifiers

Medical identifiers for Susan Haydar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730452400	NPI	-	NPPES
W14158	Other	CA	GROUP PTAN
GF591Z	Other	CA	PTAN
ZZZ20041Z	Other	CA	GROUP PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY24934 (California)	Secondary
103TC0700X	Psychologist - Clinical	9408 (Massachusetts)	Secondary
103TC0700X	Psychologist - Clinical	3665-57 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Total Life Inc	8123433034	83

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. Susan Haydar allows following entities to bill medicare on her behalf.

Entity Name	Total Life Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053909267 PECOS PAC ID: 8123433034 Enrollment ID: O20221205000058

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. Susan Haydar 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
Susan Haydar, PHD 5337 W Grande Market Dr, Appleton, WI 54913-8442 Ph: (920) 731-7445	Susan Haydar, PHD 5471 W Waterford Ln, Appleton, WI 54913-8510 Ph: (920) 731-7445

Reviews and Comments

Psychologist in Appleton, WI

Dr. Mindee Juve, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10 Tri Park Way, Appleton, WI 54914 Phone: 920-831-0070
Ms. Sharon L Gray, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 477 S Nicolet Rd, Appleton, WI 54914 Phone: 920-882-6610 Fax: 920-882-6611
Kathleen Anne Clarke, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-738-2681
Dr. Brandon B Hayes, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4351 W College Ave Ste 410, Appleton, WI 54914 Phone: 800-438-1772 Fax: 262-345-5562
Dr. Michael Marcy, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Va Outpatient Clinic, Appleton, WI 54914 Phone: 920-831-7900
Kristjana K Rahn, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1309 S Oneida St, Appleton, WI 54915 Phone: 920-903-8841
Martin J Haanstad, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1531 S Madison St, Appleton, WI 54915 Phone: 920-730-4411

Susan Haydar, PHD - Medicare Psychologist in Appleton, WI