Suzanne Champagne Eusebio, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Cape Canaveral, Florida. Her current practice location is
166 Center St Ste 100, Cape Canaveral, Florida. You can reach out to her office (for appointments etc.) via phone at
(860) 460-5542.
Suzanne Champagne Eusebio is licensed to practice in Connecticut (license number 000979) 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 1184702300.
Healthcare Provider's Profile
Full Name | Suzanne Champagne Eusebio |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 166 Center St Ste 100, Cape Canaveral, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184702300
- Provider Enumeration Date: 11/02/2006
- Last Update Date: 06/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 9537689195
- Enrollment ID: I20250226000950
Medical Identifiers
Medical identifiers for Suzanne Champagne Eusebio such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184702300 | NPI | - | NPPES |
169428221850 | Other | CT | HUMANA |
410000979CT02 | Other | CT | BLUE CROSS BLUE SHIELD |
574048 | Other | CT | MOHEGAN SUN, VALUEOPTIONS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 000979 (Connecticut) | 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. Suzanne Champagne Eusebio 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 |
Suzanne Champagne Eusebio, LMFT 166 Center St Ste 100, Cape Canaveral, FL 32920-3740 Ph: (860) 460-5542 | Suzanne Champagne Eusebio, LMFT 166 Center St Ste 100, Cape Canaveral, FL 32920-3740 Ph: (860) 460-5542 |
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