Dr Susan M Abraham, MD - Medicare Pediatrics in Stockton, CA

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Dr Susan M Abraham, MD is a medicare enrolled "Pediatrics" physician in Stockton, California. Her current practice location is 1414 N California St, Stockton, California. You can reach out to her office (for appointments etc.) via phone at (209) 468-6937.

Dr Susan M Abraham is licensed to practice in California (license number A053606) 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 1376574616.

Contact Information

Dr Susan M Abraham, MD
1414 N California St,
Stockton, CA 95202-1515
(209) 468-6937
(209) 468-7042

Map and Direction




Physician's Profile

Full NameDr Susan M Abraham
GenderFemale
SpecialityPediatrics
Location1414 N California St, Stockton, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376574616
  • Provider Enumeration Date: 07/05/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9335207430
  • Enrollment ID: I20081017000619

Medical Identifiers

Medical identifiers for Dr Susan M Abraham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376574616NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics A053606 (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 M Abraham allows following entities to bill medicare on her behalf.
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659450955
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000757
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699885079
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000784
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Other Medical Care Group
Entity IdentifiersNPI Number: 1629301346
PECOS PAC ID: 1254244973
Enrollment ID: O20110318000170

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 M Abraham 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 AddressPractice Location Address
Dr Susan M Abraham, MD
Po Box 1020,
Stockton, CA 95201-3120

Ph: (209) 468-6937		Dr Susan M Abraham, MD
1414 N California St,
Stockton, CA 95202-1515

Ph: (209) 468-6937

Reviews and Comments


Pediatrics Doctors in Stockton, CA

Dr. Erica R Waters, M.D.
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Practice Location: 89 W March Ln, Ste 1, Stockton, CA 95207
Phone: 209-478-2622    
Amparo Romero-hirahara, MD
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Practice Location: 7373 West Ln, Stockton, CA 95210
Phone: 209-476-2000    
Davina Elvina Lopes De Menezes,
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Practice Location: 7210 Murray Dr, Stockton, CA 95210
Phone: 209-373-2859    Fax: 209-373-2873
John Arnel T. Macapinlac, MD
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Practice Location: 7373 West Ln, Stockton, CA 95210
Phone: 209-476-2000    
Daksha V. Vaid, MD
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Practice Location: 7373 West Ln, Stockton, CA 95210
Phone: 209-476-2000    
Nedaa N Issa, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2349 N California St, Stockton, CA 95204
Phone: 209-469-2229    Fax: 209-466-2436
Ange Mouttapa, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 73 W March Lane, Suite F, Stockton, CA 95207
Phone: 209-952-5555    Fax: 209-952-1907

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.