Susan K Bettenhausen, APRN, CDE, RD is a medicare enrolled "Dietitian, Registered" in Naperville, Illinois. Her current practice location is
1020 E Ogden Ave Ste 100, Naperville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 789-4910.
Susan K Bettenhausen is licensed to practice in Illinois (license number 209004249) 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 1528382207.
Provider's Profile
| Full Name | Susan K Bettenhausen |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1020 E Ogden Ave Ste 100, Naperville, Illinois |
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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: 1528382207
- Provider Enumeration Date: 03/24/2010
- Last Update Date: 05/09/2019
Medicare PECOS Information:
- PECOS PAC ID: 6800081415
- Enrollment ID: I20101109000824
Medical Identifiers
Medical identifiers for Susan K Bettenhausen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528382207 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 209004249 (Illinois) | Secondary |
| 364S00000X | Clinical Nurse Specialist | 209004249 (Illinois) | Secondary |
| 133V00000X | Dietitian, Registered | 209004249 (Illinois) | 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. Susan K Bettenhausen allows following entities to bill medicare on her behalf.
| Entity Name | Dupage Medical Group Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801833983
PECOS PAC ID: 5496667941
Enrollment ID: O20040412001479 |
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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. Susan K Bettenhausen 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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Susan K Bettenhausen, APRN, CDE, RD
1860 Paysphere Cir,
Chicago, IL 60674-8605
Ph: (630) 469-2000 | Susan K Bettenhausen, APRN, CDE, RD
1020 E Ogden Ave Ste 100,
Naperville, IL 60563-8610
Ph: (630) 789-4910 |
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