Dr Sanusi Hambali Umar, MD in Redondo Beach, CA

Dr Sanusi Hambali Umar, MD is a medicare enrolled "Dermatology" physician in Redondo Beach, California. His current practice location is 819 N Harbor Dr, Suite 400, Redondo Beach, California. You can reach out to his office (for appointments etc.) via phone at (310) 480-0490.

Dr Sanusi Hambali Umar is licensed to practice in California (license number A067317) 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 1982797593.

Contact Information

	Dr Sanusi Hambali Umar, MD
	819 N Harbor Dr, Suite 400, Redondo Beach, CA 90277-2006
	(310) 480-0490
	(310) 318-1590

Map and Direction

Physician's Profile

Full Name	Dr Sanusi Hambali Umar
Gender	Male
Speciality	Dermatology
Location	819 N Harbor Dr, Redondo Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982797593
Provider Enumeration Date: 10/02/2006
Last Update Date: 12/11/2008

Medicare PECOS Information:

PECOS PAC ID: 5193789857
Enrollment ID: I20041112001160

Medical Identifiers

Medical identifiers for Dr Sanusi Hambali Umar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982797593	NPI	-	NPPES
A067317	Other	CA	CALIFORNIA STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	A067317 (California)	Primary
207NS0135X	Dermatology - Procedural Dermatology	A067317 (California)	Secondary

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. Dr Sanusi Hambali Umar allows following entities to bill medicare on his behalf.

Entity Name	County Of Los Angeles
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218

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. Dr Sanusi Hambali Umar 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
Dr Sanusi Hambali Umar, MD 819 N Harbor Dr, Suite 400, Redondo Beach, CA 90277-2006 Ph: (310) 480-0490	Dr Sanusi Hambali Umar, MD 819 N Harbor Dr, Suite 400, Redondo Beach, CA 90277-2006 Ph: (310) 480-0490

Reviews and Comments

Dermatology Doctors in Redondo Beach, CA

Dr. Teo Soleymani, M.D Dermatology Medicare: Accepting Medicare Assignments Practice Location: 514 N Prospect Ave, Redondo Beach, CA 90277 Phone: 310-937-8555 Fax: 310-937-8556
Anabella Pascucci, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 514 N Prospect Ave Ste 103, Redondo Beach, CA 90277 Phone: 310-937-8555 Fax: 310-937-8556
Geover Fernandez, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 520 N Prospect Ave, Suite 302, Redondo Beach, CA 90277 Phone: 310-798-1515 Fax: 310-798-3131
Annie Chiu, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1636 Aviation Blvd Ste 201, Redondo Beach, CA 90278 Phone: 310-939-9800
William James Wickwire, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 520 N Prospect Ave, Ste 302, Redondo Beach, CA 90277 Phone: 310-798-1515 Fax: 310-798-3131
John F Gebhard, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 217 Avenida Del Norte, Redondo Beach, CA 90277 Phone: 310-540-7546 Fax: 310-540-1056
Dr. Neal M Ammar, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 520 N Prospect Ave, Ste 302, Redondo Beach, CA 90277 Phone: 310-798-1515 Fax: 310-798-3131

Dr Sanusi Hambali Umar, MD - Medicare Dermatology in Redondo Beach, CA