Mrs Susan Annette Stapp, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Holly Pond, Alabama. Her current practice location is
111 Brooklyn Rd, Holly Pond, Alabama. You can reach out to her office (for appointments etc.) via phone at
(256) 451-1250.
Mrs Susan Annette Stapp is licensed to practice in Alabama (license number 1-102990) 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 1780924167.
Provider's Profile
Full Name | Mrs Susan Annette Stapp |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 111 Brooklyn Rd, Holly Pond, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780924167
- Provider Enumeration Date: 02/22/2013
- Last Update Date: 05/05/2015
Medicare PECOS Information:
- PECOS PAC ID: 8123263035
- Enrollment ID: I20130326000052
Medical Identifiers
Medical identifiers for Mrs Susan Annette Stapp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780924167 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 1-102990 (Alabama) | 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. Mrs Susan Annette Stapp allows following entities to bill medicare on her behalf.
Entity Name | Stopwatch Urgent Care Centers Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841506458 PECOS PAC ID: 7719166230 Enrollment ID: O20110128000664 |
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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. Mrs Susan Annette Stapp 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 |
Mrs Susan Annette Stapp, CRNP 111 Brooklyn Rd, Holly Pond, AL 35083-6478 Ph: (256) 451-1250 | Mrs Susan Annette Stapp, CRNP 111 Brooklyn Rd, Holly Pond, AL 35083-6478 Ph: (256) 451-1250 |
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