Susan Kay Ercia, is a medicare enrolled "Nurse Practitioner - Family" in Fruitport, Michigan. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Theoria Medical and her current practice location is
3427 Farr Rd Ste B, Fruitport, Michigan. You can reach out to her office (for appointments etc.) via phone at
(231) 865-7625.
Susan Kay Ercia is licensed to practice in Michigan (license number 19042140253) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740839000.
Provider's Profile
| Full Name | Susan Kay Ercia |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 3427 Farr Rd Ste B, Fruitport, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Susan Kay Ercia graduated from nursing school in 2018
NPI Data:
- NPI Number: 1740839000
- Provider Enumeration Date: 09/10/2019
- Last Update Date: 10/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 0244667400
- Enrollment ID: I20200227001897
Medical Identifiers
Medical identifiers for Susan Kay Ercia such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740839000 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 19042140253 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Theoria Medical | 5395098339 | 90 |
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 Kay Ercia allows following entities to bill medicare on her behalf.
| Entity Name | Theoria Medical |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20181004002127 |
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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 Kay Ercia 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 Kay Ercia,
3427 Farr Rd Ste B,
Fruitport, MI 49415-8854
Ph: (616) 481-0132 | Susan Kay Ercia,
3427 Farr Rd Ste B,
Fruitport, MI 49415-8854
Ph: (231) 865-7625 |
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