Susan A Vega Do.pc is a medicare enrolled primary clinic (Family Medicine) in Country Club, Missouri. The current practice location for Susan A Vega Do.pc is 8 Country Club Rd, Country Club, Missouri. For appointments, you can reach them via phone at
(816) 232-0743. The mailing address for Susan A Vega Do.pc is 8 Country Club Rd, Country Club, Missouri and phone number is (816) 232-0743.
Susan A Vega Do.pc is licensed to practice in Missouri (license number R3P07). The clinic also participates in the medicare program and its
NPI number is 1518167071. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(816) 232-0743.
Primary Care Clinic Profile
| Full Name | Susan A Vega Do.pc |
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| Speciality | Family Medicine |
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| Location | 8 Country Club Rd, Country Club, Missouri |
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| Authorized Official Name and Position | Susan A Vega (PHYSICIAN) |
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| Authorized Official Contact | 8162320743 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Susan A Vega Do.pc
8 Country Club Rd
Country Club
MO 64505-1014
Ph: (816) 232-0743 | Susan A Vega Do.pc
8 Country Club Rd
Country Club
MO 64505-1014
Ph: (816) 232-0743 |
NPI Details:
| NPI Number | 1518167071 |
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| Provider Enumeration Date | 07/23/2007 |
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| Last Update Date | 01/26/2021 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 4385739218 |
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| Medicare Enrollment ID | O20071006000004 |
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Medical Identifiers
Medical identifiers for Susan A Vega Do.pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518167071 | NPI | - | NPPES |
| P00415188 | Other | MO | MEDICARE RR |
| 243615069 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | R3P07 (Missouri) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Susan A Vega Do.pc acts as a billing entity for following providers:
| Provider Name | Susan A Vega |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1093783862
PECOS PAC ID: 9032201116
Enrollment ID: I20070821000212 |
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