Dr Nicole Susser, DO - Medicare Emergency Medicine in Grand Rapids, MI

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Dr Nicole Susser, DO is a medicare enrolled "Emergency Medicine" physician in Grand Rapids, Michigan. Her current practice location is 2040 Raybrook St Se Ste 200, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 386-4260.

Dr Nicole Susser is licensed to practice in Michigan (license number 5101013675) 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 1023309226.

Contact Information

Dr Nicole Susser, DO
2040 Raybrook St Se Ste 200,
Grand Rapids, MI 49546-7718
(616) 386-4260
Not Available

Map and Direction




Physician's Profile

Full NameDr Nicole Susser
GenderFemale
SpecialityEmergency Medicine
Location2040 Raybrook St Se Ste 200, Grand Rapids, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023309226
  • Provider Enumeration Date: 04/22/2011
  • Last Update Date: 07/22/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2365666948
  • Enrollment ID: I20140623001026

Medical Identifiers

Medical identifiers for Dr Nicole Susser such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023309226NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QG0300XFamily Medicine - Geriatric Medicine 5101013675 (Michigan)Secondary
207P00000XEmergency Medicine 5101013675 (Michigan)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 Nicole Susser allows following entities to bill medicare on her behalf.
Entity NameSignify Health Medical Associates PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20210405000855
Entity NameTrueline Health Clinic PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174389605
PECOS PAC ID: 3173010378
Enrollment ID: O20251013001454

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 Nicole Susser 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
Dr Nicole Susser, DO
2040 Raybrook St Se Ste 200,
Grand Rapids, MI 49546-7718

Ph: (616) 386-4260		Dr Nicole Susser, DO
2040 Raybrook St Se Ste 200,
Grand Rapids, MI 49546-7718

Ph: (616) 386-4260

Reviews and Comments


Emergency Medicine Doctors in Grand Rapids, MI

Kristin Inger, M.D.
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Phone: 616-391-1680    Fax: 616-285-0846
Mark G Kanitz, MD
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Dr. Calista Kaitlyn Prohaska, DO
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Phone: 616-391-1680    
Dr. Sara Rish Urquhart, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1840 Wealthy St Se, Grand Rapids, MI 49506
Phone: 616-391-1730    Fax: 616-285-0846

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.