DR. SUSAN MARIE DANIELS M.D. NPI 1700806510

Pediatrics in Bozeman, MT

NPI 1700806510 Individual Female Pediatrics PECOS Enrolled

NPI Profile for DR. SUSAN MARIE DANIELS M.D.

Susan Daniels is a pediatrician established in Bozeman, Montana and her medical specialization is pediatrics. The NPI number of Susan Daniels is 1700806510 and was assigned on July 2006. The practitioner's primary taxonomy code is 208000000X with license number 11251 (MT). The provider is registered as an individual and her NPI record was last updated 7 years ago.

A pediatrician like Dr. Susan Marie Daniels M.d. is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Susan Daniels is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..

Susan Daniels is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1700806510

Provider NameDR. SUSAN MARIE DANIELS M.D.
Provider Location Address280 W KAGY BLVD STE G BOZEMAN, MT 59715
Provider Mailing Address280 W KAGY BLVD STE G BOZEMAN, MT 59715
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-21-2006
Last Update Date03-05-2015


Primary Taxonomy

Taxonomy Code208000000X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
License No.11251
License StateMT
Taxonomy DescriptionA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Business Address

DR. SUSAN MARIE DANIELS M.D.
280 W KAGY BLVD
STE G
BOZEMAN, MT
ZIP 59715
Phone: (406) 522-5437
Fax: (406) 522-1536

Get Directions


Mailing Address

DR. SUSAN MARIE DANIELS M.D.
280 W KAGY BLVD
STE G
BOZEMAN, MT
ZIP 59715
Phone: (406) 522-5437
Fax: (406) 522-1536



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
H54500MEDICARE UPIN (02)MN
343698500MEDICAID (05)MN

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1700806510
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27001601252
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 1 + 6 + 0 + 1 + 2 + 5 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1700806510 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982775003DR. KATHRYN M LOWE MD
Individual
Pediatrics280 W KAGY BLVD SUITE G
BOZEMAN, MT 59715
(406) 522-5437
1912131178ACORN PEDIATRICS
Organization
Nurse Practitioner (Pediatrics)280 W KAGY BLVD
BOZEMAN, MT 59715
(406) 522-5437
1215162490MRS. CHRISTINE ROSE HODGSON PNP
Individual
Nurse Practitioner (Pediatrics)280 W KAGY BLVD
BOZEMAN, MT 59715
(406) 522-5437
1093152266SERENDIPITY EYECARE LLC - 20TWENTY EYECARE
Organization
Optometrist280 W KAGY BLVD SUITE B
BOZEMAN, MT 59715
(406) 522-8888
1073974135HATCH PEDIATRICS LLC
Organization
Pediatrics280 W KAGY BLVD SUITE G
BOZEMAN, MT 59715
(406) 580-1046
1598858318 KIM THERESA HOLLEY LMT
Individual
Massage Therapist280 W KAGY BLVD SUITE D, #275
BOZEMAN, MT 59715
(406) 551-3536

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Susan Marie Daniels M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.