Mrs Susan Nilsen Walsh, FNP is a medicare enrolled "Nurse Practitioner - Family" in Hoopa, California. Her current practice location is
1200 Airport Road, Hoopa, California. You can reach out to her office (for appointments etc.) via phone at
(530) 625-4261.
Mrs Susan Nilsen Walsh is licensed to practice in California (license number NP11681) 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 1306915418.
Provider's Profile
| Full Name | Mrs Susan Nilsen Walsh |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1200 Airport Road, Hoopa, California |
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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: 1306915418
- Provider Enumeration Date: 11/06/2006
- Last Update Date: 04/27/2011
Medicare PECOS Information:
- PECOS PAC ID: 6800820234
- Enrollment ID: I20050923000961
Medical Identifiers
Medical identifiers for Mrs Susan Nilsen Walsh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306915418 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | NP11681 (California) | 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 Nilsen Walsh allows following entities to bill medicare on her behalf.
| Entity Name | K'imaw Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306904222
PECOS PAC ID: 5496740698
Enrollment ID: O20040416001480 |
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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 Nilsen Walsh 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 |
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Mrs Susan Nilsen Walsh, FNP
Po Box 1221, 2000 Friday Ridge Road,
Willow Creek, CA 95573
Ph: (530) 629-3515 | Mrs Susan Nilsen Walsh, FNP
1200 Airport Road,
Hoopa, CA 95546
Ph: (530) 625-4261 |
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