Susan Lyn Koelliker, MD in Providence, RI - Medicare Diagnostic Radiology

Susan Lyn Koelliker, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Providence, Rhode Island. She graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Rhode Island Medical Imaging and her current practice location is 593 Eddy St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 444-5174.

Susan Lyn Koelliker is licensed to practice in Rhode Island (license number MD08865) 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 1841288719.

Contact Information

	Susan Lyn Koelliker, MD
	593 Eddy St, Providence, RI 02903-4923
	(401) 444-5174
	(401) 921-9212

Map and Direction

Physician's Profile

Full Name	Susan Lyn Koelliker
Gender	Female
Speciality	Diagnostic Radiology
Experience	33 Years
Location	593 Eddy St, Providence, Rhode Island
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Susan Lyn Koelliker graduated from medical school in 1991

NPI Data:

NPI Number: 1841288719
Provider Enumeration Date: 10/13/2005
Last Update Date: 03/15/2024

Medicare PECOS Information:

PECOS PAC ID: 8224205067
Enrollment ID: I20120119000690

Medical Identifiers

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

Identifier	Type	State	Issuer
1841288719	NPI	-	NPPES
005220	Other		BLUECHIP
403111	Other		TUFTS
007004713	Other		HOSPITAL PIN
1600203	Other		UNITEDHEALTHPLANS
3199894	Other		MASSMEDICAID
720053201	Other		CIGNA
3199894	Other		HEALTHYSTART
7004715	Other		RIMEDICALASSISTANCE
000000001988	Other		NHPRI
003111482	Other		CT MED ASSISTANCE
008865	Other		BLUESHIELD
007004715	Other		MEDICARE
240171	Other		RJHPILGRIM
300067448	Other		RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	154179 (Massachusetts)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	MD08865 (Rhode Island)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Women & Infants Hospital Of Rhode Island	Providence, RI	Hospital
Kent County Memorial Hospital	Warwick, RI	Hospital
Rhode Island Hospital	Providence, RI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rhode Island Medical Imaging	8022097815	108

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 Lyn Koelliker allows following entities to bill medicare on her behalf.

Entity Name	Rhode Island Medical Imaging
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205874930 PECOS PAC ID: 8022097815 Enrollment ID: O20040715000832

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 Lyn Koelliker 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 Lyn Koelliker, MD 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785 Ph: (401) 432-2520	Susan Lyn Koelliker, MD 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 444-5174

Reviews and Comments

Radiology Doctors in Providence, RI

Lars Stangenberg, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2 Dudley St, Suite 470, Providence, RI 02905 Phone: 401-553-8318 Fax: 401-868-2307
Kara Lynne Leonard, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Rih Radiation Oncology, Providence, RI 02903 Phone: 401-444-8311 Fax: 401-444-5335
Michael Low Cardenas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 825 N Main St, Providence, RI 02904 Phone: 774-279-0884
Earle O Assanah, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5174
Sarah-kim Shields, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Radiology, Providence, RI 02903 Phone: 401-444-2133 Fax: 401-444-5017
Sean O'neill, MD Radiology Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5127 Fax: 401-444-3056
John Scaringi, MD Radiology Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4000

Susan Lyn Koelliker, MD - Medicare Diagnostic Radiology in Providence, RI