Ms Susan M Hurlbut, NP is a
Nurse Practitioner based in Omro, Wisconsin. Ms Susan M Hurlbut is licensed to practice in Wisconsin (license number 1425) and her current practice location is
1805 Huckleberry Ave, Omro, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 685-7280.
NPI number for Ms Susan M Hurlbut is 1275519134 and her current mailing address is 1805 Huckleberry Ave, Omro, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275519134.
Provider's Profile
Full Name | Ms Susan M Hurlbut |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 1805 Huckleberry Ave, Omro, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275519134
- Provider Enumeration Date: 12/21/2005
- Last Update Date: 04/19/2018
Medical Identifiers
Medical identifiers for Ms Susan M Hurlbut such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275519134 | NPI | - | NPPES |
43994400 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 1425 (Wisconsin) | Primary |
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. Ms Susan M Hurlbut is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Susan M Hurlbut, NP 1805 Huckleberry Ave, Omro, WI 54963-1851 Ph: (920) 685-7280 | Ms Susan M Hurlbut, NP 1805 Huckleberry Ave, Omro, WI 54963-1851 Ph: (920) 685-7280 |
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