Dr Susan Elizabeth Gillis, MD in Laguna Niguel, CA

Dr Susan Elizabeth Gillis, MD is a medicare enrolled "Pediatrics" physician in Laguna Niguel, California. Her current practice location is 25500 Rancho Niguel Rd Ste 110, Laguna Niguel, California. You can reach out to her office (for appointments etc.) via phone at (949) 448-8821.

Dr Susan Elizabeth Gillis is licensed to practice in California (license number A172110) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215315858.

Contact Information

	Dr Susan Elizabeth Gillis, MD
	25500 Rancho Niguel Rd Ste 110, Laguna Niguel, CA 92677-7373
	(949) 448-8821
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Susan Elizabeth Gillis
Gender	Female
Speciality	Pediatrics
Location	25500 Rancho Niguel Rd Ste 110, Laguna Niguel, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215315858
Provider Enumeration Date: 05/15/2015
Last Update Date: 08/26/2024

Medicare PECOS Information:

PECOS PAC ID: 5799085296
Enrollment ID: I20180820000103

Medical Identifiers

Medical identifiers for Dr Susan Elizabeth Gillis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215315858	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A172110 (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. Dr Susan Elizabeth Gillis allows following entities to bill medicare on her behalf.

Entity Name	Childrens Specialty Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195

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 Susan Elizabeth Gillis 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 Susan Elizabeth Gillis, MD 3200 Paseo Village Way Apt 1321, San Diego, CA 92130-3232 Ph: (260) 241-5700	Dr Susan Elizabeth Gillis, MD 25500 Rancho Niguel Rd Ste 110, Laguna Niguel, CA 92677-7373 Ph: (949) 448-8821

Reviews and Comments

Pediatrics Doctors in Laguna Niguel, CA

Dr. Rebecca Allison Garfinkle, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 30131 Town Center Dr Ste 245, Laguna Niguel, CA 92677 Phone: 949-495-9600 Fax: 949-249-7848
Mrs. Geeta Grover, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 30131 Town Center Drive, Suite 130, Laguna Niguel, CA 92677 Phone: 949-249-6920 Fax: 949-249-6930
Dr. Amanda Salter, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25500 Rancho Niguel Rd Ste 110, Laguna Niguel, CA 92677 Phone: 949-448-8821
Heidi Vivian Cipollone Herrera, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25500 Rancho Niguel Rd Ste 110, Laguna Niguel, CA 92677 Phone: 949-448-8821 Fax: 949-448-8831
Dr. Jacqueline Marie Leon Leon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 25500 Rancho Niguel Rd Ste 110, Laguna Niguel, CA 92677 Phone: 949-448-8821 Fax: 949-448-8831
Wesley Y Kim, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25500 Rancho Niguel Rd Ste 110, Laguna Niguel, CA 92677 Phone: 949-448-8821

Dr Susan Elizabeth Gillis, MD - Medicare Pediatrics in Laguna Niguel, CA