Ms Susan Jessie Crow, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Symar, California. Her current practice location is
14445 Olive View Drive - North Annex, Olive View-ucla Medical Center, Symar, California. You can reach out to her office (for appointments etc.) via phone at
(818) 364-3107.
Ms Susan Jessie Crow is licensed to practice in California (license number 21073) 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 1811271539.
Provider's Profile
Full Name | Ms Susan Jessie Crow |
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Gender | Female |
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Speciality | Nurse Practitioner - Acute Care |
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Location | 14445 Olive View Drive - North Annex, Symar, California |
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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: 1811271539
- Provider Enumeration Date: 09/29/2011
- Last Update Date: 06/10/2016
Medicare PECOS Information:
- PECOS PAC ID: 3072752591
- Enrollment ID: I20180406002346
Medical Identifiers
Medical identifiers for Ms Susan Jessie Crow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811271539 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LA2100X | Nurse Practitioner - Acute Care | 21073 (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. Ms Susan Jessie Crow allows following entities to bill medicare on her behalf.
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
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Entity Name | City & County Of San Francisco |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982737524 PECOS PAC ID: 1658280748 Enrollment ID: O20050309000770 |
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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. Ms Susan Jessie Crow 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 |
Ms Susan Jessie Crow, NP 14445 Olive View Drive- North Annex, Olive View Ucla Medical Center, Sylmar, CA 91342 Ph: (818) 364-3107 | Ms Susan Jessie Crow, NP 14445 Olive View Drive - North Annex, Olive View-ucla Medical Center, Symar, CA 91342 Ph: (818) 364-3107 |
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