Kevin Suttles, in Passaic, NJ - Medicare Nurse Practitioner

Kevin Suttles, is a medicare enrolled "Nurse Practitioner - Family" in Passaic, New Jersey. He graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Shah Anuj Md Pc and his current practice location is 293 Passaic St, Passaic, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 916-0002.

Kevin Suttles is licensed to practice in New Jersey (license number 26NJ01343800) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164143400.

Contact Information

	Kevin Suttles,
	293 Passaic St, Passaic, NJ 07055-5803
	(973) 916-0002
	(973) 371-2543

Map and Direction

Provider's Profile

Full Name	Kevin Suttles
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	293 Passaic St, Passaic, New Jersey
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kevin Suttles graduated from nursing school in 2014

NPI Data:

NPI Number: 1164143400
Provider Enumeration Date: 09/06/2022
Last Update Date: 09/06/2022

Medicare PECOS Information:

PECOS PAC ID: 9133505761
Enrollment ID: I20221004003296

Medical Identifiers

Medical identifiers for Kevin Suttles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164143400	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	26NJ01343800 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shah Anuj Md Pc	5395006902	25

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. Kevin Suttles allows following entities to bill medicare on his behalf.

Entity Name	Shah Anuj Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215445127 PECOS PAC ID: 5395006902 Enrollment ID: O20180222001242

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. Kevin Suttles 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
Kevin Suttles, 293 Passaic St, Passaic, NJ 07055-5803 Ph: (973) 916-0002	Kevin Suttles, 293 Passaic St, Passaic, NJ 07055-5803 Ph: (973) 916-0002

Reviews and Comments

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Dexter Mata Caldona, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 39 Aycrigg Ave, Passaic, NJ 07055 Phone: 973-981-0476
Daiana Guerrero, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 394 Broadway Ste 100, Passaic, NJ 07055 Phone: 973-572-1035 Fax: 973-547-7872

Kevin Suttles, - Medicare Nurse Practitioner in Passaic, NJ