Susan Rae Ault, FNP in Anderson, CA - Medicare Nurse Practitioner

Susan Rae Ault, FNP is a medicare enrolled "Nurse Practitioner - Family" in Anderson, California. Her current practice location is 2830 East St, Anderson, California. You can reach out to her office (for appointments etc.) via phone at (530) 365-2545.

Susan Rae Ault is licensed to practice in California (license number 14768) 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 1790777100.

Contact Information

	Susan Rae Ault, FNP
	2830 East St, Anderson, CA 96007-3408
	(530) 365-2545
	(530) 365-3871

Map and Direction

Provider's Profile

Full Name	Susan Rae Ault
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2830 East St, Anderson, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790777100
Provider Enumeration Date: 08/22/2005
Last Update Date: 05/31/2016

Medicare PECOS Information:

PECOS PAC ID: 0345201984
Enrollment ID: I20041026000815

Medical Identifiers

Medical identifiers for Susan Rae Ault such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790777100	NPI	-	NPPES
278215	Medicaid	OR
1407812365	Other	OR	GROUP NPI NUMBER
R0000WFBTV	Other	OR	MEDICARE GROUP PIN NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WG0000X	Registered Nurse - General Practice	083045668RN (Oregon)	Secondary
363L00000X	Nurse Practitioner	200450018NP (Oregon)	Secondary
364SX0200X	Clinical Nurse Specialist - Oncology	200570025CNS (Oregon)	Secondary
363LF0000X	Nurse Practitioner - Family	14768 (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. Susan Rae Ault allows following entities to bill medicare on her behalf.

Entity Name	Nirmal Mehton
Entity Type	Practitioner - Family Practice
Entity Identifiers	NPI Number: 1851373534 PECOS PAC ID: 9032026927 Enrollment ID: I20080306000452

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 Rae Ault 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
Susan Rae Ault, FNP 2830 East St, Anderson, CA 96007-3408 Ph: (530) 365-2545	Susan Rae Ault, FNP 2830 East St, Anderson, CA 96007-3408 Ph: (530) 365-2545

Reviews and Comments

Nurse Practitioner Nurses in Anderson, CA

Ms. Carole Ann Hodges, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2161 Ferry St, Anderson, CA 96007 Phone: 530-365-2229 Fax: 530-365-2237
Christina M Creeden, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2965 East St, Anderson, CA 96007 Phone: 303-780-4865 Fax: 530-357-0582
Colleen Whelen, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3082 Mcmurray Dr, Anderson, CA 96007 Phone: 530-365-4412
Ms. Deborah D Boyd, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2760 N. Balls Ferry Rd., Anderson, CA 96007 Phone: 530-365-4412 Fax: 530-365-5186
William David Blackmon, RN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2830 East St, Anderson, CA 96007 Phone: 530-365-2545
Torry Graham, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3082 Mcmurray Dr, Anderson, CA 96007 Phone: 530-365-4412
Mrs. Tiffany Lockhart Reguera, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3082 Mcmurray Dr, Anderson, CA 96007 Phone: 530-365-4420 Fax: 530-365-5186

Susan Rae Ault, FNP - Medicare Nurse Practitioner in Anderson, CA