Susan Marie Wassenhove, PA-C - Medicare Physician Assistant in Mishawaka, IN

Susan Marie Wassenhove, PA-C is a medicare enrolled "Physician Assistant" physician in Mishawaka, Indiana. Her current practice location is 812 W 4th St, Mishawaka, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 255-1604.

Susan Marie Wassenhove is licensed to practice in Michigan (license number 5601001412) 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 1861420341.

Contact Information

Susan Marie Wassenhove, PA-C
812 W 4th St,
Mishawaka, IN 46544-1738
(574) 255-1604
Not Available



Physician's Profile

Full NameSusan Marie Wassenhove
GenderFemale
SpecialityPhysician Assistant
Location812 W 4th St, Mishawaka, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861420341
  • Provider Enumeration Date: 06/30/2006
  • Last Update Date: 02/23/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 2668473711
  • Enrollment ID: I20080915000115

Medical Identifiers

Medical identifiers for Susan Marie Wassenhove such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861420341NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 1722 (Alaska)Secondary
363A00000XPhysician Assistant 5601001412 (Michigan)Primary
363A00000XPhysician Assistant 2692-23, (Wisconsin)Secondary
363A00000XPhysician Assistant 4398 (Arizona)Secondary

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 Marie Wassenhove 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 Marie Wassenhove, PA-C
812 W 4th Street,
Mishawaka, IN 46544

Ph: (574) 255-1604
Susan Marie Wassenhove, PA-C
812 W 4th St,
Mishawaka, IN 46544-1738

Ph: (574) 255-1604

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