Mrs Susanne Margaret Wargo, APRN is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Adult" in Bristol, Connecticut. Her current practice location is
440 N Main St Ste C, Bristol, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 583-5858.
Mrs Susanne Margaret Wargo is licensed to practice in Connecticut (license number 001048) 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 1710145842.
Provider's Profile
| Full Name | Mrs Susanne Margaret Wargo |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Adult |
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| Location | 440 N Main St Ste C, Bristol, Connecticut |
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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: 1710145842
- Provider Enumeration Date: 05/27/2008
- Last Update Date: 05/27/2008
Medicare PECOS Information:
- PECOS PAC ID: 0648223438
- Enrollment ID: I20050222000684
Medical Identifiers
Medical identifiers for Mrs Susanne Margaret Wargo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710145842 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | R28909 (Connecticut) | Secondary |
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 001048 (Connecticut) | 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 Susanne Margaret Wargo allows following entities to bill medicare on her behalf.
| Entity Name | Bristol Hospital Multi-specialty Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649265679 PECOS PAC ID: 9032014758 Enrollment ID: O20031204000960 |
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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 Susanne Margaret Wargo 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 Susanne Margaret Wargo, APRN 440 N Main St Ste C, Bristol, CT 06010-1902 Ph: (860) 583-5858 | Mrs Susanne Margaret Wargo, APRN 440 N Main St Ste C, Bristol, CT 06010-1902 Ph: (860) 583-5858 |
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