Elizabeth Suwartono Pagler, MD in Victorville, CA

Elizabeth Suwartono Pagler, MD is a medicare enrolled "Family Medicine" physician in Victorville, California. Her current practice location is 12408 Hesperia Rd Ste 21, Victorville, California. You can reach out to her office (for appointments etc.) via phone at (760) 553-7000.

Elizabeth Suwartono Pagler is licensed to practice in Michigan (license number 4301110149) 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 1295185254.

Contact Information

	Elizabeth Suwartono Pagler, MD
	12408 Hesperia Rd Ste 21, Victorville, CA 92395-7718
	(760) 553-7000
	(760) 269-1275

Map and Direction

Physician's Profile

Full Name	Elizabeth Suwartono Pagler
Gender	Female
Speciality	Family Medicine
Location	12408 Hesperia Rd Ste 21, Victorville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295185254
Provider Enumeration Date: 06/20/2016
Last Update Date: 08/10/2020

Medicare PECOS Information:

PECOS PAC ID: 1658669221
Enrollment ID: I20230306001482

Medical Identifiers

Medical identifiers for Elizabeth Suwartono Pagler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295185254	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4301110149 (Michigan)	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. Elizabeth Suwartono Pagler allows following entities to bill medicare on her behalf.

Entity Name	Vvipa Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295126001 PECOS PAC ID: 5092185546 Enrollment ID: O20221228001648

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. Elizabeth Suwartono Pagler 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
Elizabeth Suwartono Pagler, MD 12370 Hesperia Rd Ste 13, Victorville, CA 92395-5808 Ph: (760) 245-4747	Elizabeth Suwartono Pagler, MD 12408 Hesperia Rd Ste 21, Victorville, CA 92395-7718 Ph: (760) 553-7000

Reviews and Comments

Family Medicine Doctors in Victorville, CA

Mrs. Geetha Reddy, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000
Kimberly Anne Bekemeier, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13010 Hesperia Rd, Suite 600, Victorville, CA 92395 Phone: 760-881-3717 Fax: 760-881-3720
Josephine Francine Corona, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11883 Amethyst Rd, Victorville, CA 92392 Phone: 760-241-8000 Fax: 760-381-8043
Mark Mousa, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 12550 Hesperia Rd Ste 100, Victorville, CA 92395 Phone: 760-241-6666
Dr. Naziuh Naim Bishay, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14011 Park Ave, Victorville, CA 92392 Phone: 888-750-0036 Fax: 909-427-5033
Sourav Das, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12408 Hesperia Rd Ste 21, Victorville, CA 92395 Phone: 760-553-7000 Fax: 760-269-1275
Shabbir Nooruddin Sabir, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15248 Eleventh St, Victorville, CA 92395 Phone: 860-335-4743

Elizabeth Suwartono Pagler, MD - Medicare Family Medicine in Victorville, CA