Susan Dubray, is a medicare enrolled "Social Worker - Clinical" provider in Grand Forks, North Dakota. She graduated from healthcare school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Village Family Service Center and her current practice location is
1726 S Washington St Ste 33a, Grand Forks, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 746-4584.
Susan Dubray is licensed to practice in North Dakota (license number 3649) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740557602.
Healthcare Provider's Profile
| Full Name | Susan Dubray |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 22 Years |
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| Location | 1726 S Washington St Ste 33a, Grand Forks, North Dakota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Susan Dubray graduated from medical school in 2002
NPI Data:
- NPI Number: 1740557602
- Provider Enumeration Date: 11/21/2011
- Last Update Date: 02/25/2020
Medicare PECOS Information:
- PECOS PAC ID: 3173824216
- Enrollment ID: I20151215002412
Medical Identifiers
Medical identifiers for Susan Dubray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740557602 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 3649 (North Dakota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 3649 (North Dakota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Village Family Service Center | 7517857428 | 15 |
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 Dubray allows following entities to bill medicare on her behalf.
| Entity Name | Village Family Service Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568492353
PECOS PAC ID: 7517857428
Enrollment ID: O20040316000782 |
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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. Susan Dubray 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 |
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Susan Dubray,
1201 25th St S, Po Box 9859,
Fargo, ND 58103-2311
Ph: () - | Susan Dubray,
1726 S Washington St Ste 33a,
Grand Forks, ND 58201-6395
Ph: (701) 746-4584 |
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