Suzanna Marie Bird, is a medicare enrolled "Social Worker - Clinical" provider in Shelley, Idaho. Her current practice location is
675 Aspen Ave, Shelley, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 419-6196.
Suzanna Marie Bird is licensed to practice in Idaho (license number LCSW-43376) 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 1942748199.
Healthcare Provider's Profile
| Full Name | Suzanna Marie Bird |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 675 Aspen Ave, Shelley, Idaho |
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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: 1942748199
- Provider Enumeration Date: 02/08/2017
- Last Update Date: 01/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 9133587645
- Enrollment ID: I20230615000720
Medical Identifiers
Medical identifiers for Suzanna Marie Bird such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1942748199 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 36378 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-43376 (Idaho) | 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. Suzanna Marie Bird allows following entities to bill medicare on her behalf.
| Entity Name | Human Supports Of Idaho |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922340124 PECOS PAC ID: 0244485894 Enrollment ID: O20130305000118 |
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| Entity Name | Mental Health Specialists |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548585458 PECOS PAC ID: 1658665427 Enrollment ID: O20160802003169 |
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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. Suzanna Marie Bird 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 |
Suzanna Marie Bird, 675 Aspen Ave, Shelley, ID 83274-1414 Ph: () - | Suzanna Marie Bird, 675 Aspen Ave, Shelley, ID 83274-1414 Ph: (208) 419-6196 |
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