Susan Therese Fedewa, DO - Medicare Emergency Medicine in Jackson, MI

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Susan Therese Fedewa, DO is a medicare enrolled "Emergency Medicine" physician in Jackson, Michigan. She graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Legacy Physician Group Pc and her current practice location is 205 N East Ave, Jackson, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 788-4800.

Susan Therese Fedewa is licensed to practice in Michigan (license number 5101010021) 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 1750336004.

Contact Information

Susan Therese Fedewa, DO
205 N East Ave,
Jackson, MI 49201-1753
(517) 788-4800
(517) 796-6410

Map and Direction




Physician's Profile

Full NameSusan Therese Fedewa
GenderFemale
SpecialityEmergency Medicine
Experience37 Years
Location205 N East Ave, Jackson, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Susan Therese Fedewa graduated from medical school in 1987
  NPI Data:
  • NPI Number: 1750336004
  • Provider Enumeration Date: 05/24/2006
  • Last Update Date: 11/23/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7810896214
  • Enrollment ID: I20040811001267

Medical Identifiers

Medical identifiers for Susan Therese Fedewa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750336004NPI-NPPES
114873751MedicaidMI
P00312682OtherMIRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 5101010021 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mclaren Greater LansingLansing, MIHospital
Edward W Sparrow HospitalLansing, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Physician Group Pc06482778306

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 Therese Fedewa allows following entities to bill medicare on her behalf.
Entity NameKalamazoo Emergency Associates, Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942251244
PECOS PAC ID: 5890685473
Enrollment ID: O20040317001078
Entity NameLegacy Physician Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801800719
PECOS PAC ID: 0648277830
Enrollment ID: O20061101000048
Entity NameEmergency Professionals Of Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952740656
PECOS PAC ID: 3274767371
Enrollment ID: O20131003000093
Entity NameEcs Central Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043711930
PECOS PAC ID: 9931462132
Enrollment ID: O20180423001965
Entity NameHillsdale Emergency Physicians, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669018206
PECOS PAC ID: 0648605766
Enrollment ID: O20200120000752

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 Therese Fedewa 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 AddressPractice Location Address
Susan Therese Fedewa, DO
Department 272801, Po Box 67000,
Detroit, MI 48267-2728

Ph: (517) 841-6913		Susan Therese Fedewa, DO
205 N East Ave,
Jackson, MI 49201-1753

Ph: (517) 788-4800

Reviews and Comments


Emergency Medicine Doctors in Jackson, MI

Susan Marie Lessner-boesler, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 205 N East Ave, Emergency Department, Jackson, MI 49201
Phone: 517-788-4800    Fax: 517-796-6410
Jonathan F. Bradley, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 205 N East Ave, Jackson, MI 49201
Phone: 517-788-4800    Fax: 517-796-6410
Kevin Killian, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 205 N East Ave, Jackson, MI 49201
Phone: 517-205-4800    
Deepa S Macha, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 205 N East Ave, Jackson, MI 49201
Phone: 517-788-4996    Fax: 517-796-6410
Dr. Gregory W Fuller, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1006 Airport Rd, Jackson, MI 49202
Phone: 517-784-6663    Fax: 517-787-7976
Dr. Brett Mcknight Russell, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 205 N East Ave, Jackson, MI 49201
Phone: 517-788-4800    
David Farhat, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 205 N East Ave, Jackson, MI 49201
Phone: 517-788-4996    Fax: 517-796-6410

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.