SUSAN THERESE FEDEWA DO
NPI 1750336004
Emergency Medicine in Jackson, MI

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
205 N EAST AVE, JACKSON, MI 49201(517) 788-4800(517) 796-6410 Get Directions Write a Review

NPPES record last updated: November 23, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Susan Therese Fedewa Do NPPES

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

SUSAN THERESE FEDEWA DO (NPI 1750336004) is an individual emergency medicine provider in Jackson, Michigan, licensed in Michigan (5101010021) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Mclaren Greater Lansing, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1750336004
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameSUSAN THERESE FEDEWACredential: DO
Location Address205 N EAST AVEJackson, MI 49201-1753
Mailing AddressDepartment 272801, Po Box 67000Detroit, MI 48267-2728 · (517) 841-6913 · Fax (517) 841-6917
Fax(517) 796-6410
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateMay 24, 2006
Last NPPES UpdateNovember 23, 2007
NPI 1750336004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MI · 5101010021
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

205 N EAST AVE, Jackson, MI 49201

Other Names 1

Other Name (5)Susan Therese Tartalone

Other Identifiers 3

Medicare UPINE68629MI
Medicare PINMM88560048MI
OtherP00312682MI · Rr Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Susan Therese Fedewa Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810896214
PECOS Enrollment IDI20040811001267
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 31

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
316 services233 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
306 services306 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
207 services207 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
188 services166 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
182 services160 patients
Intravenous injection, bebtelovimab, includes injection and post administration monitoring M0222
Intravenous injection of Bebtelovimab involves injecting this medication into your vein. It's used to treat specific health conditions. After the injection, your health status will be closely monitored to ensure the medication is working effectively and to check for any side effects.
143 services143 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Greater Lansing

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230167
Location2900 Collins RdLansing, MI 48910 · Ingham County
Emergency services Birthing friendly

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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 20

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

Emergency Medicine
205 N EAST AVE
JACKSON, MI 49201
Nurse Anesthetist, Certified Registered
205 N EAST AVE
JACKSON, MI 49201
Psychiatry & Neurology (Psychiatry)
205 N EAST AVE
JACKSON, MI 49201
Emergency Medicine
205 N EAST AVE
JACKSON, MI 49201
Internal Medicine (Pulmonary Disease)
205 N EAST AVE
JACKSON, MI 49201
Emergency Medicine
205 N EAST AVE
JACKSON, MI 49201
Emergency Medicine
205 N EAST AVE
JACKSON, MI 49201
Emergency Medicine
205 N EAST AVE
JACKSON, MI 49201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750336004, enumerated as an "individual" on May 24, 2006.

The provider is located at 205 N EAST AVE JACKSON, MI 49201 and the phone number is (517) 788-4800.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.

Susan Fedewa is affiliated with: MCLAREN GREATER LANSING and EDWARD W SPARROW HOSPITAL.