Dr Susan Elizabeth Lightbourn, MD is a medicare enrolled "Internal Medicine" physician in Ebensburg, Pennsylvania. She went to Howard University College Of Medicine and graduated in 1981 and has 43 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Pennsylvania Department Of Human Services and her current practice location is
4501 Admiral Peary Highway, Ebensburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 472-7350.
Dr Susan Elizabeth Lightbourn is licensed to practice in Pennsylvania (license number MD034281E) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730274317.
Physician's Profile
Full Name | Dr Susan Elizabeth Lightbourn |
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Gender | Female |
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Speciality | Internal Medicine |
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Experience | 43 Years |
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Location | 4501 Admiral Peary Highway, Ebensburg, Pennsylvania |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Susan Elizabeth Lightbourn attended and graduated from Howard University College Of Medicine in 1981
NPI Data:
- NPI Number: 1730274317
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 12/12/2007
Medicare PECOS Information:
- PECOS PAC ID: 9537197132
- Enrollment ID: I20050803000486
Medical Identifiers
Medical identifiers for Dr Susan Elizabeth Lightbourn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730274317 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | MD034281E (Pennsylvania) | Primary |
208000000X | Pediatrics | MD034281E (Pennsylvania) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Pennsylvania Department Of Human Services | 0547168064 | 24 |
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 Lightbourn allows following entities to bill medicare on her behalf.
Entity Name | Pennsylvania Department Of Human Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154304483 PECOS PAC ID: 0547168064 Enrollment ID: O20041130000438 |
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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 Lightbourn 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 Lightbourn, MD 203 Royalwood Dr, Ebensburg, PA 15931 Ph: (814) 472-7350 | Dr Susan Elizabeth Lightbourn, MD 4501 Admiral Peary Highway, Ebensburg, PA 15931 Ph: (814) 472-7350 |
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