Susanne Fine, PSYD, RN, CNS is a
Psychologist - Clinical based in Medford, Oregon. Susanne Fine is licensed to practice in Oregon (license number 1546) and her current practice location is
1117 E Main St, Medford, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 245-1123.
NPI number for Susanne Fine is 1720062490 and her current mailing address is 1117 E Main St, Medford, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720062490.
Provider's Profile
| Full Name | Susanne Fine |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 1117 E Main St, Medford, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720062490
- Provider Enumeration Date: 12/06/2005
- Last Update Date: 01/09/2013
Medical Identifiers
Medical identifiers for Susanne Fine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1720062490 | NPI | - | NPPES |
| 200870007CNS-PP | Other | OR | CLINICAL NURSE PRACTTIONER/ARNP |
| #1546 | Other | OR | PSYCHOLOGIST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 200870007CNS-PP (Oregon) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1546 (Oregon) | 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. Susanne Fine 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 |
Susanne Fine, PSYD, RN, CNS 1117 E Main St, Medford, OR 97504-7404 Ph: (541) 245-1123 | Susanne Fine, PSYD, RN, CNS 1117 E Main St, Medford, OR 97504-7404 Ph: (541) 245-1123 |
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