Edie E Zusman, MD is a medicare enrolled "Neurological Surgery" physician in Fairfield, California. Her current practice location is
1860 Pennsylvania Ave, Suite 320, Fairfield, California. You can reach out to her office (for appointments etc.) via phone at
(707) 646-4370.
Edie E Zusman is licensed to practice in California (license number G64158) 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 1629178637.
Physician's Profile
| Full Name | Edie E Zusman |
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| Gender | Female |
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| Speciality | Neurological Surgery |
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| Location | 1860 Pennsylvania Ave, Fairfield, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629178637
- Provider Enumeration Date: 09/22/2006
- Last Update Date: 01/15/2016
Medicare PECOS Information:
- PECOS PAC ID: 1850454810
- Enrollment ID: I20090116000449
Medical Identifiers
Medical identifiers for Edie E Zusman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629178637 | NPI | - | NPPES |
| 00G641580 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207T00000X | Neurological Surgery | G64158 (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. Edie E Zusman allows following entities to bill medicare on her behalf.
| Entity Name | Northbay Healthcare Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821147786
PECOS PAC ID: 0042122244
Enrollment ID: O20031105000409 |
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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. Edie E Zusman 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 |
|---|
Edie E Zusman, MD
1860 Pennsylvania Ave, Suite 320,
Fairfield, CA 94533-3590
Ph: (707) 646-4370 | Edie E Zusman, MD
1860 Pennsylvania Ave, Suite 320,
Fairfield, CA 94533-3590
Ph: (707) 646-4370 |
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