Susan Elizabeth Chernick, M.D.
Individual provider Active NPI Internal Medicine Physician · Mobile, AL
NPI 1124042619 · NPPES record last updated Jan 27, 2011
Key facts
- NPI
- 1124042619
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 20674 (AL)
- Practice address
- 6701 Airport Blvd
Suite a-101
Mobile, AL 36608-6705 - Phone
- (251) 633-8880
- Fax
- (251) 634-4501
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of South Alabama College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Imc-Hospitalists LLC
Practice addresses (Care Compare)
5 Mobile Infirmary Cir
Mobile, AL 36607-3513
Phone (251) 435-7289
Hospital & facility affiliations
- Mobile Infirmary Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100331000372 | AL | Practitioner - Internal Medicine | 0345376109 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20674 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imc-Hospitalists LLC | Current |
Accepting new patients |
Locations
5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415
1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20674 | AL | Yes |
Addresses
Primary practice location
6701 Airport Blvd
Suite a-101
Mobile, AL 36608-6705
Mailing address
PO Box 850489
Mobile, AL 36685-0489
Phone (251) 342-3949
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000093009 | Medicaid | AL |
Other providers in Mobile, AL
- Edith Royal Cheney
- Grace Min Cheng
- Chrissa Lynne Chenoweth
- Michael Joseph Chenoweth
- Richard Jay Chernick
- Hannah Cherry
- Lauren Leigh Cherry
- Jensen Cheshire
- Bhawana Chhetri
- Sumit Chhetri
All providers in Mobile, AL · Internal Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.