Wendy Bulthuis-susong, is a
Psychologist - School based in Byron, Illinois. Wendy Bulthuis-susong is licensed to practice in * (Not Available) (license number ) and her current practice location is
417 N Colfax St, Byron, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 234-2722.
NPI number for Wendy Bulthuis-susong is 1396251633 and her current mailing address is 417 N Colfax St, Byron, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396251633.
Healthcare Provider's Profile
| Full Name | Wendy Bulthuis-susong |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - School |
|---|
| Location | 417 N Colfax St, Byron, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1396251633
- Provider Enumeration Date: 12/22/2017
- Last Update Date: 12/22/2017
Medical Identifiers
Medical identifiers for Wendy Bulthuis-susong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396251633 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TS0200X | Psychologist - School | (* (Not Available)) | Primary |
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. Wendy Bulthuis-susong is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Wendy Bulthuis-susong,
417 N Colfax St,
Byron, IL 61010-1438
Ph: () - | Wendy Bulthuis-susong,
417 N Colfax St,
Byron, IL 61010-1438
Ph: (815) 234-2722 |
Reviews and Comments