Paul Lynn Susic, MA is a medicare enrolled "Psychologist - Health Service" provider in St. Charles, Missouri. He graduated from medical school in 1992 and has 34 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
2451 Executive Dr. Ste. 103, St. Charles, Missouri. You can reach out to his office (for appointments etc.) via phone at
(636) 300-9922.
Paul Lynn Susic is licensed to practice in Missouri (license number 01802) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790707123.
Healthcare Provider's Profile
| Full Name | Paul Lynn Susic |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 34 Years |
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| Location | 2451 Executive Dr. Ste. 103, St. Charles, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Paul Lynn Susic graduated from medical school in 1992
NPI Data:
- NPI Number: 1790707123
- Provider Enumeration Date: 07/24/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9234105123
- Enrollment ID: I20041007000266
Medical Identifiers
Medical identifiers for Paul Lynn Susic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790707123 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TH0100X | Psychologist - Health Service | 01802 (Missouri) | 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. Paul Lynn Susic 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 |
Paul Lynn Susic, MA 350 Trailhead Way, Dardenne Prairie, MO 63368 Ph: (636) 300-9922 | Paul Lynn Susic, MA 2451 Executive Dr. Ste. 103, St. Charles, MO 63303 Ph: (636) 300-9922 |
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