Alexander Michael Lustberg, MD in Santa Rosa, CA

Alexander Michael Lustberg, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Santa Rosa, California. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Sutter Bay Medical Foundation and his current practice location is 500 Doyle Park Dr, Suite G04, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 303-8349.

Alexander Michael Lustberg is licensed to practice in California (license number A86284) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225009301.

Contact Information

	Alexander Michael Lustberg, MD
	500 Doyle Park Dr, Suite G04, Santa Rosa, CA 95405-4558
	(707) 303-8349
	(707) 303-2694

Map and Direction

Physician's Profile

Full Name	Alexander Michael Lustberg
Gender	Male
Speciality	Gastroenterology
Experience	28 Years
Location	500 Doyle Park Dr, Santa Rosa, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Alexander Michael Lustberg graduated from medical school in 1996

NPI Data:

NPI Number: 1225009301
Provider Enumeration Date: 01/27/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 7113991563
Enrollment ID: I20040823000661

Medical Identifiers

Medical identifiers for Alexander Michael Lustberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225009301	NPI	-	NPPES
00A862840	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	A-86284 (California)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	A86284 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sutter Santa Rosa Regional Hospital	Santa rosa, CA	Hospital
California Pacific Medical Ctr-davies Campus Hosp	San francisco, CA	Hospital
Sutter Lakeside Hospital	Lakeport, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sutter Bay Medical Foundation	4284538778	2995

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alexander Michael Lustberg allows following entities to bill medicare on his behalf.

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alexander Michael Lustberg is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Alexander Michael Lustberg, MD 500 Doyle Park Dr, Santa Rosa, CA 95405-4558 Ph: () -	Alexander Michael Lustberg, MD 500 Doyle Park Dr, Suite G04, Santa Rosa, CA 95405-4558 Ph: (707) 303-8349

Reviews and Comments

Internal Medicine Doctors in Santa Rosa, CA

Rajveer Sangera, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 500 Doyle Park Dr Ste G04, Santa Rosa, CA 95405 Phone: 707-576-7100
Dr. Yulia Rivelis, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3883 Airway Dr, Santa Rosa, CA 95403 Phone: 707-573-5458 Fax: 707-573-5458
Soheila Benrazavi, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 4730 Hoen Ave, Santa Rosa, CA 95405 Phone: 707-528-1616
Suhana Elamsenthil, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000
Jarrod Paul Holmes, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3555 Round Barn Cir, Santa Rosa, CA 95403 Phone: 707-528-1050 Fax: 707-525-3874
Dr. James Andrew Driscoll, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 4001 Split Rail Ct, Santa Rosa, CA 95403 Phone: 512-459-6599
Dominic Joseph Picetti, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000

Alexander Michael Lustberg, MD - Medicare Gastroenterology in Santa Rosa, CA