Susan O'connor Brown, in Ponte Vedra Beach, FL - Medicare Psychologist Provider

Susan O'connor Brown, is a medicare enrolled "Psychologist" provider in Ponte Vedra Beach, Florida. Her current practice location is 168 Coastal Oak Cir, Ponte Vedra Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (610) 639-4554.

Susan O'connor Brown is licensed to practice in Pennsylvania (license number PS008999L) 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 1720739394.

Contact Information

	Susan O'connor Brown,
	168 Coastal Oak Cir, Ponte Vedra Beach, FL 32082-2702
	(610) 639-4554
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Susan O'connor Brown
Gender	Female
Speciality	Psychologist
Location	168 Coastal Oak Cir, Ponte Vedra Beach, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720739394
Provider Enumeration Date: 01/14/2022
Last Update Date: 01/14/2022

Medicare PECOS Information:

PECOS PAC ID: 9335509637
Enrollment ID: I20230718003885

Medical Identifiers

Medical identifiers for Susan O'connor Brown such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720739394	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PS008999L (Pennsylvania)	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. Susan O'connor Brown allows following entities to bill medicare on her behalf.

Entity Name	Brightside Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073072658 PECOS PAC ID: 9234525098 Enrollment ID: O20230614002773

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 O'connor Brown 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 O'connor Brown, 168 Coastal Oak Cir, Ponte Vedra Beach, FL 32082-2702 Ph: () -	Susan O'connor Brown, 168 Coastal Oak Cir, Ponte Vedra Beach, FL 32082-2702 Ph: (610) 639-4554

Reviews and Comments

Psychologist in Ponte Vedra Beach, FL

Bambi Lynn Wadelton, PLHD Psychologist Medicare: Medicare Enrolled Practice Location: 13000 Sawgrass Village Cir, Suite 46, Ponte Vedra Beach, FL 32082 Phone: 904-280-8555 Fax: 904-280-8562
Dr. Janice Wachtel, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 Executive Way, Ste 110, Ponte Vedra Beach, FL 32082 Phone: 904-834-2235 Fax: 866-531-8858
Meghan Ambrose, MS, LSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 303 Vista Lagoon Ct Unit C-1, Ponte Vedra Beach, FL 32082 Phone: 858-717-4803
David Blackmon, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 330 A1a N Ste 325, Ponte Vedra Beach, FL 32082 Phone: 904-333-3389 Fax: 904-713-2989
Dr. Kristen Kelley, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 98 Nocatee Village Dr, Ponte Vedra Beach, FL 32081 Phone: 904-376-3800 Fax: 904-390-7392
Andrew Brown King, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 400 Colonnade Dr Ste 230, Ponte Vedra Beach, FL 32081 Phone: 904-376-3800
Naomi Jacobs, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 100 Executive Way, Suite 207, Ponte Vedra Beach, FL 32082 Phone: 904-687-6336

Susan O'connor Brown, - Medicare Psychologist in Ponte Vedra Beach, FL