Caleb Matthew Lusk, MD in San Pedro, CA - Medicare Family Medicine

Caleb Matthew Lusk, MD is a medicare enrolled "Family Medicine - Addiction Medicine" physician in San Pedro, California. His current practice location is 593 W 6th St, San Pedro, California. You can reach out to his office (for appointments etc.) via phone at (310) 547-0202.

Caleb Matthew Lusk is licensed to practice in California (license number A165385) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1386149912.

Contact Information

	Caleb Matthew Lusk, MD
	593 W 6th St, San Pedro, CA 90731-2521
	(310) 547-0202
	Not Available

Map and Direction

Physician's Profile

Full Name	Caleb Matthew Lusk
Gender	Male
Speciality	Family Medicine - Addiction Medicine
Location	593 W 6th St, San Pedro, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386149912
Provider Enumeration Date: 03/26/2018
Last Update Date: 03/28/2023

Medicare PECOS Information:

PECOS PAC ID: 8325441058
Enrollment ID: I20220914003787

Medical Identifiers

Medical identifiers for Caleb Matthew Lusk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386149912	NPI	-	NPPES
008056033	Medicaid	CT
008056168	Medicaid	CT
004217099	Medicaid	CT
008068298	Medicaid	CT
008039745	Medicaid	CT
008103790	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	69006 (Connecticut)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207QA0401X	Family Medicine - Addiction Medicine	A165385 (California)	Primary

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. Caleb Matthew Lusk allows following entities to bill medicare on his behalf.

Entity Name	Harbor Community Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467490425 PECOS PAC ID: 8022166826 Enrollment ID: O20090505000470

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. Caleb Matthew Lusk 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
Caleb Matthew Lusk, MD 593 W 6th St, San Pedro, CA 90731-2521 Ph: (310) 547-0202	Caleb Matthew Lusk, MD 593 W 6th St, San Pedro, CA 90731-2521 Ph: (310) 547-0202

Reviews and Comments

Family Medicine Doctors in San Pedro, CA

Lawrence Bruce Greenberg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1499 W 1st St, San Pedro, CA 90732 Phone: 310-831-9482 Fax: 310-831-1230
Krupa Shah, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 N Western Ave, San Pedro, CA 90732 Phone: 310-832-4225 Fax: 310-831-4860
Dr. Issa M Botros, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1499 W 1st St, San Pedro, CA 90732 Phone: 310-241-2590
Mr. Francisco J Correa, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 W 6th St, Ste 3, San Pedro, CA 90732 Phone: 310-241-1000 Fax: 310-227-8225
Dr. Anh Tam Nguyen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: Bldg 30, 2400 S Pacific Ave, San Pedro, CA 90731 Phone: 310-653-8668
Michael Schreiber, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 660 W 7th St, San Pedro, CA 90731 Phone: 818-488-4711 Fax: 818-337-7105
Dr. David H Smith, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1360 W 6th St Ste D, San Pedro, CA 90732 Phone: 310-514-0404 Fax: 310-521-9311

Caleb Matthew Lusk, MD - Medicare Family Medicine in San Pedro, CA