Dr Suzette Fink Bryan, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Prescott Valley, Arizona. Her current practice location is
7700 E Florentine Rd, Prescott Valley, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 445-2700.
Dr Suzette Fink Bryan is licensed to practice in Arizona (license number 52030) 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 1356554539.
Physician's Profile
| Full Name | Dr Suzette Fink Bryan |
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| Gender | Female |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 7700 E Florentine Rd, Prescott Valley, Arizona |
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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: 1356554539
- Provider Enumeration Date: 05/07/2007
- Last Update Date: 07/15/2019
Medicare PECOS Information:
- PECOS PAC ID: 2961557905
- Enrollment ID: I20160608002482
Medical Identifiers
Medical identifiers for Dr Suzette Fink Bryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356554539 | NPI | - | NPPES |
| 1356554539 | Medicaid | IA | |
| 470376604-12 | Medicaid | NE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 2009-01236 (North Carolina) | Secondary |
| 207P00000X | Emergency Medicine | 25734 (Nebraska) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD171297 (Oregon) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 52030 (Arizona) | 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 Suzette Fink Bryan allows following entities to bill medicare on her behalf.
| Entity Name | Yavapai Community Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902897820
PECOS PAC ID: 6608777024
Enrollment ID: O20040119000405 |
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| Entity Name | Southwest Diagnostic Imaging Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902896236
PECOS PAC ID: 7416946199
Enrollment ID: O20040507001294 |
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| Entity Name | Sonoran Radiology Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033745708
PECOS PAC ID: 3375964505
Enrollment ID: O20200526002412 |
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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. Dr Suzette Fink Bryan 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 |
|---|
Dr Suzette Fink Bryan, MD
810 Whipple St,
Prescott, AZ 86301-1606
Ph: (928) 771-7577 | Dr Suzette Fink Bryan, MD
7700 E Florentine Rd,
Prescott Valley, AZ 86314-2245
Ph: (928) 445-2700 |
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