Susan Ellsperman, MD in Evansville, IN - Medicare Otolaryngology

Susan Ellsperman, MD is a medicare enrolled "Otolaryngology" physician in Evansville, Indiana. Her current practice location is 350 W Columbia St Ste 200, Evansville, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 425-2646.

Susan Ellsperman is licensed to practice in Indiana (license number 01093711A) 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 1760918080.

Contact Information

	Susan Ellsperman, MD
	350 W Columbia St Ste 200, Evansville, IN 47710-1756
	(812) 425-2646
	(812) 467-7209

Map and Direction

Physician's Profile

Full Name	Susan Ellsperman
Gender	Female
Speciality	Otolaryngology
Location	350 W Columbia St Ste 200, Evansville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760918080
Provider Enumeration Date: 05/05/2017
Last Update Date: 06/20/2025

Medicare PECOS Information:

PECOS PAC ID: 8628355252
Enrollment ID: I20240727000374

Medical Identifiers

Medical identifiers for Susan Ellsperman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760918080	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	A177533 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	4301111962 (Michigan)	Secondary
207Y00000X	Otolaryngology	01093711A (Indiana)	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 Ellsperman allows following entities to bill medicare on her behalf.

Entity Name	Deaconess Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145

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 Ellsperman 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
Susan Ellsperman, MD Po Box 631767, Cincinnati, OH 45263-1767 Ph: (812) 450-6815	Susan Ellsperman, MD 350 W Columbia St Ste 200, Evansville, IN 47710-1756 Ph: (812) 425-2646

Reviews and Comments

Otolaryngology Doctors in Evansville, IN

Dr. Laura B Finch, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 350 W Columbia St, Ste 310, Evansville, IN 47710 Phone: 812-425-2646 Fax: 812-467-7209
Dr. Ryan Charles Palmer, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1401 Professional Blvd, Evansville, IN 47714 Phone: 812-473-2060
Ralph Stanley Wilson, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1020 Professional Blvd, Evansville, IN 47714 Phone: 812-473-2060 Fax: 812-473-0763
Dr. Curtis E Shinabarger, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 350 W Columbia St, Suite 310, Evansville, IN 47710 Phone: 812-425-2646 Fax: 812-467-7209
Todd Joseph Wannemuehler, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 350 W Columbia St Ste 310, Evansville, IN 47710 Phone: 812-425-2646 Fax: 812-467-7209
Sharayah Lynn Glisson, FNP-BC Otolaryngology Medicare: Medicare Enrolled Practice Location: 1401 Professional Blvd, Evansville, IN 47714 Phone: 812-473-2060 Fax: 812-473-0763
John A Bizal, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 350 W Columbia St, Suite 310, Evansville, IN 47710 Phone: 812-425-4646 Fax: 812-467-7209

Susan Ellsperman, MD - Medicare Otolaryngology in Evansville, IN