Irawan Susanto, MD in Santa Monica, CA - Medicare Pulmonary Disease

Irawan Susanto, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Santa Monica, California. He went to University Of Texas Medical School At San Antonio and graduated in 1987 and has 37 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice The Regents Of The University Of California and his current practice location is 1223 16th St, Suite 3400, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at (310) 449-0939.

Irawan Susanto is licensed to practice in California (license number C50280) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003836610.

Contact Information

	Irawan Susanto, MD
	1223 16th St, Suite 3400, Santa Monica, CA 90404-1217
	(310) 449-0939
	(424) 259-7790

Map and Direction

Physician's Profile

Full Name	Irawan Susanto
Gender	Male
Speciality	Pulmonary Disease
Experience	37 Years
Location	1223 16th St, Santa Monica, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Irawan Susanto attended and graduated from University Of Texas Medical School At San Antonio in 1987

NPI Data:

NPI Number: 1003836610
Provider Enumeration Date: 07/20/2006
Last Update Date: 02/06/2014

Medicare PECOS Information:

PECOS PAC ID: 7113073503
Enrollment ID: I20090928000203

Medical Identifiers

Medical identifiers for Irawan Susanto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003836610	NPI	-	NPPES
00C502800	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	C50280 (California)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	C50280 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ronald Reagan Ucla Medical Center	Los angeles, CA	Hospital
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital	Santa monica, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Regents Of The University Of California	1355248584	1170

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. Irawan Susanto allows following entities to bill medicare on his behalf.

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439

Entity Name	Rancho Faculty Medical Associates, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750317970 PECOS PAC ID: 8022902469 Enrollment ID: O20040211000774

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. Irawan Susanto 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
Irawan Susanto, MD 5767 W Century Blvd, Suite 200, Los Angeles, CA 90045-5632 Ph: (310) 301-8708	Irawan Susanto, MD 1223 16th St, Suite 3400, Santa Monica, CA 90404-1217 Ph: (310) 449-0939

Reviews and Comments

Internal Medicine Doctors in Santa Monica, CA

Louis Ravitz, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 2336 Santa Monica Blvd, Suite 207, Santa Monica, CA 90404 Phone: 310-828-9311 Fax: 310-453-8533
Janet Winikoff, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 2001 Santa Monica Blvd Ste 860, Santa Monica, CA 90404 Phone: 310-828-3209 Fax: 310-828-5165
Dr. Sean Dooley, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 323-829-8745
Lorraine Anderson, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1245 16th St Ste 303, Santa Monica, CA 90404 Phone: 310-481-4646 Fax: 310-899-7599
Dr. Colleen Lucy Channick, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1223 16th St Ste 3400, Santa Monica, CA 90404 Phone: 310-449-0939
Carol Yukiko Nishikubo, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 Santa Monica Blvd Ste 560w, Santa Monica, CA 90404 Phone: 310-453-5654 Fax: 310-453-6885

Irawan Susanto, MD - Medicare Pulmonary Disease in Santa Monica, CA