Susie Lee Martin, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Monument Valley, Utah. Her current practice location is
30 W Medical Dr, Monument Valley, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 727-3000.
Susie Lee Martin is licensed to practice in Utah (license number 12476698-3501) 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 1902615719.
Healthcare Provider's Profile
| Full Name | Susie Lee Martin |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 30 W Medical Dr, Monument Valley, Utah |
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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: 1902615719
- Provider Enumeration Date: 01/06/2025
- Last Update Date: 01/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 8022546191
- Enrollment ID: I20250116003865
Medical Identifiers
Medical identifiers for Susie Lee Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1902615719 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 12476698-3501 (Utah) | 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. Susie Lee Martin allows following entities to bill medicare on her behalf.
| Entity Name | Utah Navajo Health System Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811991151 PECOS PAC ID: 1658275649 Enrollment ID: O20031121000239 |
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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. Susie Lee Martin 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 |
Susie Lee Martin, LCSW Po Box 360005, Monument Valley, UT 84536-0005 Ph: (435) 727-3000 | Susie Lee Martin, LCSW 30 W Medical Dr, Monument Valley, UT 84536-7705 Ph: (435) 727-3000 |
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