John Liboon, MD is a medicare enrolled "Emergency Medicine" physician in Poway, California. His current practice location is
15615 Pomerado Rd, Poway, California. You can reach out to his office (for appointments etc.) via phone at
(858) 613-4000.
John Liboon is licensed to practice in California (license number A65588) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528012853.
Physician's Profile
| Full Name | John Liboon |
|---|
| Gender | Male |
|---|
| Speciality | Emergency Medicine |
|---|
| Location | 15615 Pomerado Rd, Poway, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1528012853
- Provider Enumeration Date: 05/20/2006
- Last Update Date: 04/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 8123010485
- Enrollment ID: I20070809000720
Medical Identifiers
Medical identifiers for John Liboon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528012853 | NPI | - | NPPES |
| 8266652 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | MD00038681 (Washington) | Secondary |
| 207P00000X | Emergency Medicine | A65588 (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. John Liboon allows following entities to bill medicare on his behalf.
| Entity Name | Cep America - California |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1548667843
PECOS PAC ID: 6103739131
Enrollment ID: O20040121000458 |
|---|
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. John Liboon 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 |
|---|
John Liboon, MD
2100 Powell St Ste 900,
Emeryville, CA 94608-1844
Ph: (510) 350-2600 | John Liboon, MD
15615 Pomerado Rd,
Poway, CA 92064-2405
Ph: (858) 613-4000 |
Reviews and Comments