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DR. SUSAN D. JOLLIFF D.D.S.
NPI 1003857442
Dentist - General Practice in Brady, TX

Active since June 09, 2006Opted out of Medicare · through Apr 10, 2027
702 W 17TH ST, BRADY, TX 76825(325) 597-7441(325) 597-0380 Get Directions Write a Review

NPPES record last updated: September 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Susan D. Jolliff D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSAN D. JOLLIFF D.D.S. (NPI 1003857442) is an individual general practice provider in Brady, Texas, licensed in Texas (20448) and active in the NPI registry since June 2006. She has opted out of Medicare through April 10, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1003857442
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SUSAN D. JOLLIFFCredential: D.D.S.
Location Address702 W 17TH STBrady, TX 76825-6936
Mailing Address702 W 17th StBrady, TX 76825-6936 · (325) 597-7441 · Fax (325) 597-0380
Phone(325) 597-7441
Fax(325) 597-0380
Sole ProprietorYes
Enumeration DateJune 9, 2006
Last NPPES UpdateSeptember 3, 2019
✔ NPI 1003857442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 20448
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 20448 (TX)
702 W 17TH ST, Brady, TX 76825
Open in Google Maps ↗

Other Identifiers 2

OtherB20448TX · Chips
Medicaid164258901TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Susan D. Jolliff D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 10, 2017 through April 10, 2027.

Opt-Out Effective DateApril 10, 2017
Opt-Out In Effect ThroughApril 10, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76825 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRADY DENTAL GROUP, PA
Durable Medical Equipment & Medical Supplies
702 W 17TH ST
BRADY, TX 76825
McCulloch County (325) 597-7441

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Jolliff's NPI number?

The NPI number for Susan Jolliff is 1003857442. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Susan Jolliff located?

Susan Jolliff practices at 702 W 17th St, Brady, TX 76825. The listed phone number is (325) 597-7441.

What is Susan Jolliff's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Susan Jolliff enrolled in Medicare?

No. Susan Jolliff has opted out of Medicare through April 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Susan Jolliff accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and DentaQuest USA Insurance Company, Inc. and 7 other insurers list Susan Jolliff as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Jolliff was last updated on September 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.