-- Susan Gail Kreissman --

MD | Pediatric Hematology-Oncology | Female

---

Complete Profile:

-- Susan Gail Kreissman -- basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Hematology-Oncology
Provider Name :	-- Susan Gail Kreissman --
Credential :	MD
Gender :	Female

Business Address:

-- Susan Gail Kreissman -- 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 :	4101 N Roxboro St Durham, NC, 27704-2121 United States
Phone Number :	919-684-8111

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 :	1215096177
NPI Entity Type :	Individual
First Enrolment Date :	07 Dec, 2006
Last Updated On :	07 Mar, 2023

Medicare Participation:

-- Susan Gail Kreissman -- participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0941304455
Medicare Enrollment ID :	I20070322000296
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	1985
Accepts Medicare?	Yes. -- Susan Gail Kreissman -- accepts medicare insurance.

Group Practice Association:

-- Susan Gail Kreissman -- 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 -- Susan Gail Kreissman -- 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
Private Diagnostic Clinic, Pllc	1355254368	2345	3480 Wake Forest Rd Suite 502 Raleigh, NC - 276097376 Ph: 9194205000	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 -- Susan Gail Kreissman -- are as mentioned. Primary taxonomy code for -- Susan Gail Kreissman --, MD is 2080P0207X (Pediatrics, Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0207X	Pediatrics, Pediatric Hematology-Oncology	Yes	2000-00860	NC

Legacy Identifiers:

Other legacy medical identifiers of -- Susan Gail Kreissman -- such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
127E6	Other (non-Medicare)	NC	BCBS
2281045	MEDICARE PIN	NC

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 :	4101 N Roxboro St Durham, NC, 27704-2121 United States
Phone Number :	919-684-8111

Business Location:

Patients can refer following map for directions to -- Susan Gail Kreissman -- practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.