Dr. Susan Lyasko Klugewicz
M.D. | Pediatrics | Female
Dr. Susan Lyasko Klugewicz, M.D. is a Elizabethton, Tennessee based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Susan Lyasko Klugewicz is
1500 W Elk Ave, Elizabethton, Tennessee - 37643. She can be contacted on phone at
423-543-2584 and fax number 423-722-2060.
Dr. Susan Lyasko Klugewicz is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Susan Lyasko Klugewicz is
1992763981 which was assigned by NPPES on 02 May, 2006 and it was last updated on 12 Sep, 2018.
Dr. Susan Lyasko Klugewicz license number is
MD45116 for Pediatrics (208000000X) in Tennessee.
Dr. Susan Lyasko Klugewicz is a pediatrician who 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.
Complete Profile:
Dr. Susan Lyasko Klugewicz basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Susan Lyasko Klugewicz |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Susan Lyasko Klugewicz address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1500 W Elk Ave
Elizabethton, TN, 37643
United States |
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| Phone Number : | 423-543-2584 |
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| Fax Number : | 423-722-2060 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1992763981 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 May, 2006 |
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| Last Updated On : | 12 Sep, 2018 |
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Medicare Participation:
Dr. Susan Lyasko Klugewicz participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 3476786872 |
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| Medicare Enrollment ID : | I20140509002005 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | University Of Cincinnati College Of Medicine |
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| Graduation Year : | 1991 |
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| Accepts Medicare? | Yes. Dr. Susan Lyasko Klugewicz accepts medicare insurance. |
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Group Practice Association:
Dr. Susan Lyasko Klugewicz is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Susan Lyasko Klugewicz is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Medical Care Pllc | 1850448580 | 45 | 401 E Main St
Johnson City, TN - 376014877
Ph: 4239292584 | Yes |
| Medical Care Pllc | 1850448580 | 45 | 1500 W Elk Ave
Elizabethton, TN - 376433776
Ph: 4235432584 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Susan Lyasko Klugewicz are as mentioned. Primary taxonomy code for Dr. Susan Lyasko Klugewicz, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | MD45116 | TN |
| 208000000X | Pediatrics | No | ME78055 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Susan Lyasko Klugewicz such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1514567 | MEDICAID | TN | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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401 E MAIN ST,
JOHNSON CITY, TN, 37601-4877
United States | JOHNSON CITY, TN | 423-929-2584 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 401 E Main St
Johnson City, TN, 37601-4877
United States |
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| Phone Number : | 423-929-2584 |
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| Fax Number : | 423-722-2060 |
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Business Location:
Patients can refer following map for directions to
Dr. Susan Lyasko Klugewicz practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.