Susan J Laenger, MD
Individual provider Active NPI Internal Medicine Physician · Gulf Breeze, FL
NPI 1851343370 · NPPES record last updated Jun 29, 2010
Key facts
- NPI
- 1851343370
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- ME78749 (FL)
- Practice address
- 1395 El Rito Dr
Gulf Breeze, FL 32563-6707 - Phone
- (850) 932-9251
- Fax
- (850) 932-9199
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Washington University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sacred Heart Health System Inc
Practice addresses (Care Compare)
4033 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3506
Phone (850) 416-1345
4501 N Davis Hwy
Suite a
Pensacola, FL 32504-2724
Phone (850) 476-9000
Hospital & facility affiliations
- Ascension at Home
- Peoples Home Health LLC
- Sacred Heart Hospital
- Gulf Breeze Hospital
- Baptist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20090227000541 | FL | Practitioner - Internal Medicine | 3779649652 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME78749 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Internal Medicine | Current |
Accepting new patients |
| Sacred Heart Health System Inc | Current |
Accepting new patients | |
| Elaine C Sharp MD PA | Past |
Accepting new patients | |
| Sacred Heart Health System, Inc. | Past | Accepting new patients |
Locations
36500 Emerald Coast Pkwy
Destin, FL 32541
Phone (850) 269-0301
1395 El Rito Dr
Gulf Breeze, FL 32563
Phone (850) 733-9343
4033 Gulf Breeze Pkwy
Ste B
Gulf Breeze, FL 32563
Phone (850) 416-2641
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691
5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700
5045 Carpenter Creek Dr
Pensacola, FL 32503
Phone (850) 416-2400
4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000
Interoperability endpoints
- susan.laenger.1@9582.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME78749 | FL | Yes |
Addresses
Primary practice location
1395 El Rito Dr
Gulf Breeze, FL 32563-6707
Mailing address
PO Box 2699
Pensacola, FL 32513-2699
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257384900 | Medicaid | FL |
Other providers in Gulf Breeze, FL
- Kevin P. Krueger
- Celeste Krys
- Kendall Jenkins Kubik
- Judy Kuhn
- Becky Erickson Kyler
- Thomas Lampone
- Landmark Recovery of Florida LLC
- Eric A Lane
- Mary Jessica Langston
- Kamarie Lee Larson
All providers in Gulf Breeze, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2010. 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.