DR. SUSAN MARIE MCDOWELL D.C.
NPI 1730278839
Chiropractor in Simpsonville, SC
NPI Status: Active since October 12, 2006
Contact Information
7 FIVE FORK PLAZA CT
SUITE D
SIMPSONVILLE, SC
ZIP 29681
Phone: (864) 458-7008
Fax: (864) 458-7002
- Individual
- Female
- Years of Experience 25
- Chiropractor
- Accepts Insurance
- Accepts Medicare Approved Payment
About SUSAN MCDOWELL
This page provides the complete NPI Profile along with additional information for Susan Mcdowell, a provider established in Simpsonville, South Carolina with a medical specialization in Chiropractor and more than 25 years of experience. She graduated from Sherman College Of Straight Chiropractic in 2001. The healthcare provider is registered in the NPI registry with number 1730278839 assigned on October 2006. The practitioner's primary taxonomy code is 111N00000X with license number 2612 (SC). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1730278839
- Provider Name
- DR. SUSAN MARIE MCDOWELL D.C.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 7 FIVE FORK PLAZA CT SUITE D SIMPSONVILLE, SC 29681
- Location Phone
- (864) 458-7008
- Location Fax
- (864) 458-7002
- Mailing Address
- 7 FIVE FORK PLAZA CT SUITE D SIMPSONVILLE, SC 29681
- Mailing Phone
- (864) 458-7008
- Mailing Fax
- (864) 458-7002
- Medical School Name
- SHERMAN COLLEGE OF STRAIGHT CHIROPRACTIC
- Graduation Year
- 2001
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-12-2006
- Last Update Date
- 03-06-2012
- Code Navigator
A chiropractor like Susan Mcdowell helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Chiropractor
- Taxonomy Code
- 111N00000X
- Type
- Chiropractic Providers
- License No.
- 2612
- License State
- SC
- Taxonomy Description
- A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded (Dental + Vision) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value - HMO
- UHC Gold Advantage - HMO
- UHC Gold Advantage+ (Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded - HMO
- UHC Gold Standard - HMO
- UHC Silver Advantage - HMO
- UHC Silver Advantage+ (Dental + Vision) - HMO
- UHC Silver Copay Focus $0 Indiv Med Ded - HMO
- UHC Silver Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1871680728 | OTHER (01) | SC | GROUP NPI |
| 7632 | OTHER (01) | SC | MEDICARE GROUP PIN |
| U951917632 | MEDICARE UPIN (02) | SC |
Medicare Participation & PECOS Enrollment Status
Susan Mcdowell is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 8426955972
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20120502000456
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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NPI Validation Check Digit Calculation
The following table explains the step by step 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. | |||||||||
| 1 | 7 | 3 | 0 | 2 | 7 | 8 | 8 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 6 | 0 | 4 | 7 | 16 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 6 + 0 + 4 + 7 + 1 + 6 + 8 + 6 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1730278839 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730278839, enumerated as an "individual" on October 12, 2006.
The provider is located at 7 FIVE FORK PLAZA CT SUITE D SIMPSONVILLE, SC 29681 and the phone number is (864) 458-7008.
Chiropractor with taxonomy code 111N00000X.
The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
