Susan C Herndon, NP is a medicare enrolled "Nurse Practitioner - Gerontology" physician in Charlottesville, Virginia. She went to Duke University School Of Medicine and graduated in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Virginia Physicians Group and her current practice location is
1240 Lee St, Charlottesville, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 243-5233.
Susan C Herndon is licensed to practice in Virginia (license number 0024175057) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114432812.
Physician's Profile
| Full Name | Susan C Herndon |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 1240 Lee St, Charlottesville, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Susan C Herndon attended and graduated from Duke University School Of Medicine in 2017
NPI Data:
- NPI Number: 1114432812
- Provider Enumeration Date: 12/05/2017
- Last Update Date: 11/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416217112
- Enrollment ID: I20180126001785
Medical Identifiers
Medical identifiers for Susan C Herndon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114432812 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207LC0200X | Anesthesiology - Critical Care Medicine | 0024175057 (Virginia) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 0024175057 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Of Virginia Physicians Group | 4880590728 | 1547 |
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 C Herndon allows following entities to bill medicare on her behalf.
| Entity Name | University Of Virginia Physicians Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033138250
PECOS PAC ID: 4880590728
Enrollment ID: O20040102000780 |
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| Entity Name | Riverside Physician Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194929026
PECOS PAC ID: 5092608448
Enrollment ID: O20040207000400 |
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| Entity Name | Peninsula Cancer Institute, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710180120
PECOS PAC ID: 8729031638
Enrollment ID: O20050302000714 |
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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 C Herndon 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 C Herndon, NP
Po Box 9007,
Charlottesville, VA 22906-9007
Ph: () - | Susan C Herndon, NP
1240 Lee St,
Charlottesville, VA 22908-0817
Ph: (434) 243-5233 |
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