Susan E Nourse, MD - Medicare Obstetrics & Gynecology in Salt Lake City, UT

Susan E Nourse, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Salt Lake City, Utah. Her current practice location is 30 N 1900 E Rm 2b200, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 581-5501.

Susan E Nourse is licensed to practice in Utah (license number 11901394-1205) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194285759.

Contact Information

Susan E Nourse, MD
30 N 1900 E Rm 2b200,
Salt Lake City, UT 84132-0002
(801) 581-5501
Not Available



Physician's Profile

Full NameSusan E Nourse
GenderFemale
SpecialityObstetrics & Gynecology
Location30 N 1900 E Rm 2b200, Salt Lake City, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194285759
  • Provider Enumeration Date: 03/20/2019
  • Last Update Date: 09/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2163840935
  • Enrollment ID: I20230707003559

Medical Identifiers

Medical identifiers for Susan E Nourse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194285759NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 11901394-1205 (Utah)Primary

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. Susan E Nourse allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Utah Adult Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114321981
PECOS PAC ID: 0941525273
Enrollment ID: O20150209001683

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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. Susan E Nourse 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 AddressPractice Location Address
Susan E Nourse, MD
30 N 1900 E Rm 2b200,
Salt Lake City, UT 84132-0002

Ph: (801) 581-5501
Susan E Nourse, MD
30 N 1900 E Rm 2b200,
Salt Lake City, UT 84132-0002

Ph: (801) 581-5501

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Obstetrics & Gynecology Doctors in Salt Lake City, UT

Virginia Jean Homewood, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 3336 S 4155 W, Ste 301, Salt Lake City, UT 84120
Phone: 801-964-3865    Fax: 801-964-3894
Alexandra L. Woodcock, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 30 N 1900 E Rm 2a200, Salt Lake City, UT 84132
Phone: 801-213-3716    
Lillian B. Boettcher, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 30 N 1900 E Rm 2b200, Salt Lake City, UT 84132
Phone: 801-581-7647    
Patricia Bearnson, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 4465 S 900 E Ste 275, Salt Lake City, UT 84124
Phone: 801-272-6100    Fax: 801-272-6101
Eric C Nielson, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1220 East 3900 South, Suite 3e, Salt Lake City, UT 84124
Phone: 801-685-7188    Fax: 801-685-8116
Susan T Horvath, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1140 E 3900 S Ste 400, Salt Lake City, UT 84124
Phone: 801-262-8666    Fax: 801-263-8821
Carolyn Weaver Swenson, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132
Phone: 801-213-2995    

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