Susan Simmons Maclean, MD - Medicare Pediatrics in Burnsville, NC

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Susan Simmons Maclean, MD is a medicare enrolled "Pediatrics" physician in Burnsville, North Carolina. Her current practice location is 800 Medical Campus Dr, Burnsville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (828) 682-0200.

Susan Simmons Maclean is licensed to practice in North Carolina (license number 200000260) 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 1629043468.

Contact Information

Susan Simmons Maclean, MD
800 Medical Campus Dr,
Burnsville, NC 28714-9010
(828) 682-0200
Not Available

Map and Direction




Physician's Profile

Full NameSusan Simmons Maclean
GenderFemale
SpecialityPediatrics
Location800 Medical Campus Dr, Burnsville, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629043468
  • Provider Enumeration Date: 02/22/2006
  • Last Update Date: 01/31/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0547445348
  • Enrollment ID: I20160805000038

Medical Identifiers

Medical identifiers for Susan Simmons Maclean such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629043468NPI-NPPES
891247GMedicaidNC
SM4961008OtherUNITED HEALTHCARE
1247GOtherNCBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 200000260 (North Carolina)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 Simmons Maclean allows following entities to bill medicare on her behalf.
Entity NameBlue Ridge Regional Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447261698
PECOS PAC ID: 0648181966
Enrollment ID: O20040729001574

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 Simmons Maclean 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
Susan Simmons Maclean, MD
800 Medical Campus Dr,
Burnsville, NC 28714-9010

Ph: (828) 682-0200		Susan Simmons Maclean, MD
800 Medical Campus Dr,
Burnsville, NC 28714-9010

Ph: (828) 682-0200

Reviews and Comments


Pediatrics Doctors in Burnsville, NC

Dr. Lucia Criveanu, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 800 Medical Campus Dr, Burnsville, NC 28714
Phone: 828-682-0200    Fax: 828-682-5095

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.