Dr Susan Diana Walker, MD is a medicare enrolled "Pediatrics" physician in Center Moriches, New York. Her current practice location is
600 Main St Ste A, Center Moriches, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 638-2900.
Dr Susan Diana Walker is licensed to practice in New York (license number 211855) 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 1013950955.
Physician's Profile
Full Name | Dr Susan Diana Walker |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 600 Main St Ste A, Center Moriches, New York |
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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: 1013950955
- Provider Enumeration Date: 06/14/2006
- Last Update Date: 05/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 1759422744
- Enrollment ID: I20100113000449
Medical Identifiers
Medical identifiers for Dr Susan Diana Walker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013950955 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 211855 (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. Dr Susan Diana Walker allows following entities to bill medicare on her behalf.
Entity Name | Stony Brook Children's Service, University Faculty Practice Corporatio |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083660575 PECOS PAC ID: 8921993551 Enrollment ID: O20040220000822 |
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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. Dr Susan Diana Walker 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 |
Dr Susan Diana Walker, MD Po Box 1559, Stony Brook, NY 11790-0989 Ph: (631) 444-0650 | Dr Susan Diana Walker, MD 600 Main St Ste A, Center Moriches, NY 11934-2235 Ph: (631) 638-2900 |
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