Dr Suzan Lynn Dula, PSYD, PA-C is a medicare enrolled "Physician Assistant - Medical" in Long Beach, Washington. Her current practice location is
2204 Pacific Ave N, Long Beach, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 642-3787.
Dr Suzan Lynn Dula is licensed to practice in Washington (license number PA10002915) 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 1942583372.
Provider's Profile
| Full Name | Dr Suzan Lynn Dula |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 2204 Pacific Ave N, Long Beach, Washington |
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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: 1942583372
- Provider Enumeration Date: 09/22/2011
- Last Update Date: 03/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 0244268829
- Enrollment ID: I20050803001215
Medical Identifiers
Medical identifiers for Dr Suzan Lynn Dula such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942583372 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | PA10002915 (Washington) | Primary |
| 103TC0700X | Psychologist - Clinical | PY60420557 (Washington) | Secondary |
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 Suzan Lynn Dula 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 Suzan Lynn Dula, PSYD, PA-C
905 W Riverside Ave Ste 208,
Spokane, WA 99201-1099
Ph: (509) 747-0165 | Dr Suzan Lynn Dula, PSYD, PA-C
2204 Pacific Ave N,
Long Beach, WA 98631-3300
Ph: (360) 642-3787 |
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