Susanna Wilde, PHD in Troy, NY - Medicare Psychologist Provider

Susanna Wilde, PHD is a medicare enrolled "Psychologist" provider in Troy, New York. Her current practice location is 2215 Burdett Ave, Behavioral Health Dept, Troy, New York. You can reach out to her office (for appointments etc.) via phone at (518) 271-3300.

Susanna Wilde is licensed to practice in New York (license number 013092) 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 1568570901.

Contact Information

	Susanna Wilde, PHD
	2215 Burdett Ave, Behavioral Health Dept, Troy, NY 12180
	(518) 271-3300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Susanna Wilde
Gender	Female
Speciality	Psychologist
Location	2215 Burdett Ave, Troy, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568570901
Provider Enumeration Date: 08/27/2006
Last Update Date: 09/28/2018

Medicare PECOS Information:

PECOS PAC ID: 1951574706
Enrollment ID: I20111024000358

Medical Identifiers

Medical identifiers for Susanna Wilde such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568570901	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	013092 (New York)	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. Susanna Wilde allows following entities to bill medicare on her behalf.

Entity Name	Samaritan Hospital Of Troy, New York
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043267727 PECOS PAC ID: 6507770070 Enrollment ID: O20031118000782

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. Susanna Wilde 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
Susanna Wilde, PHD Po Box 14890, Albany, NY 12212-4890 Ph: (518) 525-5634	Susanna Wilde, PHD 2215 Burdett Ave, Behavioral Health Dept, Troy, NY 12180 Ph: (518) 271-3300

Reviews and Comments

Psychologist in Troy, NY

Theodore Michael Ines, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2215 Burdett Ave, Behavioral Health Dept, Troy, NY 12180 Phone: 518-271-3300
Dr. Willis T Van Dyne, PSY D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 41 2nd St, Troy, NY 12180 Phone: 518-272-0506
Dr. Anita M Phillips, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10 Brielle Dr, Troy, NY 12182 Phone: 518-222-5716
Dr. Keith John Anderson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 110 8th St., Troy, NY 12180 Phone: 518-276-6479
Dr. Alfred M Volo, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1444 Massachusetts Ave, Suite 208, Troy, NY 12180 Phone: 518-274-2336 Fax: 518-274-2336
Dr. Martin Joseph Lyden, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 267 Hoosick St, Troy, NY 12180 Phone: 518-271-6949 Fax: 518-449-7965
Dr. Edward W Mcallister, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 45 Ferry St, Troy, NY 12180 Phone: 518-244-2070

Susanna Wilde, PHD - Medicare Psychologist in Troy, NY