Rosemary Hale Surace, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Sheridan, Indiana. She graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Riverview Hospital and her current practice location is
611 E 10th St, Sheridan, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 758-4477.
Rosemary Hale Surace is licensed to practice in Indiana (license number 20043509A) 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 1073174389.
Healthcare Provider's Profile
| Full Name | Rosemary Hale Surace |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 5 Years |
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| Location | 611 E 10th St, Sheridan, Indiana |
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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. |
Medical Education and Training:
- Rosemary Hale Surace graduated from medical school in 2021
NPI Data:
- NPI Number: 1073174389
- Provider Enumeration Date: 06/26/2019
- Last Update Date: 04/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 9335546118
- Enrollment ID: I20210921002276
Medical Identifiers
Medical identifiers for Rosemary Hale Surace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1073174389 | NPI | - | NPPES |
| 300054533 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | 20043509A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Riverview Hospital | 1153216627 | 184 |
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. Rosemary Hale Surace allows following entities to bill medicare on her behalf.
| Entity Name | Riverview Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609074921 PECOS PAC ID: 1153216627 Enrollment ID: O20040216000572 |
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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. Rosemary Hale Surace 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 |
Rosemary Hale Surace, PSYD Po Box 843022, Kansas City, MO 64184-3022 Ph: (317) 770-6900 | Rosemary Hale Surace, PSYD 611 E 10th St, Sheridan, IN 46069-9106 Ph: (317) 758-4477 |
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