Susie Li Tan, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Garfield Heights, Ohio. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Cleveland Clinic and her current practice location is
12300 Mccracken Rd, Garfield Heights, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 581-0500.
Susie Li Tan is licensed to practice in Ohio (license number 0021057) 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 1841030491.
Provider's Profile
| Full Name | Susie Li Tan |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 2 Years |
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| Location | 12300 Mccracken Rd, Garfield Heights, Ohio |
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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:
- Susie Li Tan graduated from nursing school in 2024
NPI Data:
- NPI Number: 1841030491
- Provider Enumeration Date: 05/30/2024
- Last Update Date: 05/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 1456899020
- Enrollment ID: I20240814000283
Medical Identifiers
Medical identifiers for Susie Li Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841030491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 0021057 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cleveland Clinic | 1850203555 | 6184 |
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. Susie Li Tan allows following entities to bill medicare on her behalf.
| Entity Name | The Cleveland Clinic Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049 |
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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. Susie Li Tan 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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Susie Li Tan,
5000 Acacia Ct,
Independence, OH 44131-4618
Ph: (646) 315-1756 | Susie Li Tan,
12300 Mccracken Rd,
Garfield Heights, OH 44125-2914
Ph: (216) 581-0500 |
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