Susan M Exworthy, LCSW CSAC is a medicare enrolled "Social Worker - Clinical" provider in Sturgeon Bay, Wisconsin. Her current practice location is
323 S 18th Ave, Sturgeon Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 746-0510.
Susan M Exworthy is licensed to practice in Wisconsin (license number 8922-123) 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 1306231683.
Healthcare Provider's Profile
| Full Name | Susan M Exworthy |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 323 S 18th Ave, Sturgeon Bay, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306231683
- Provider Enumeration Date: 04/02/2015
- Last Update Date: 11/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 5294080453
- Enrollment ID: I20180612003192
Medical Identifiers
Medical identifiers for Susan M Exworthy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306231683 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15999-132 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8922-123 (Wisconsin) | 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. Susan M Exworthy allows following entities to bill medicare on her behalf.
| Entity Name | Oneida Nation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740278308
PECOS PAC ID: 6800794074
Enrollment ID: O20031224000077 |
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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 M Exworthy 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 M Exworthy, LCSW CSAC
323 S 18th Ave,
Sturgeon Bay, WI 54235-1401
Ph: (920) 746-0510 | Susan M Exworthy, LCSW CSAC
323 S 18th Ave,
Sturgeon Bay, WI 54235-1401
Ph: (920) 746-0510 |
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