Mona Abutouk, in San Luis Obispo, CA

Mona Abutouk, is a medicare enrolled "Pediatrics" physician in San Luis Obispo, California. Her current practice location is 1235 Osos St Ste 100, San Luis Obispo, California. You can reach out to her office (for appointments etc.) via phone at (805) 549-0888.

Mona Abutouk is licensed to practice in California (license number 183330) 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 1811556103.

Contact Information

	Mona Abutouk,
	1235 Osos St Ste 100, San Luis Obispo, CA 93401-3619
	(805) 549-0888
	Not Available

Map and Direction

Physician's Profile

Full Name	Mona Abutouk
Gender	Female
Speciality	Pediatrics
Location	1235 Osos St Ste 100, San Luis Obispo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811556103
Provider Enumeration Date: 06/10/2019
Last Update Date: 01/11/2025

Medicare PECOS Information:

PECOS PAC ID: 5991157091
Enrollment ID: I20240112004314

Medical Identifiers

Medical identifiers for Mona Abutouk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811556103	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	183330 (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. Mona Abutouk allows following entities to bill medicare on her behalf.

Entity Name	Riverside Medical Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720183403 PECOS PAC ID: 2961492327 Enrollment ID: O20040517000880

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. Mona Abutouk 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
Mona Abutouk, 1235 Osos St Ste 100, San Luis Obispo, CA 93401-3619 Ph: (805) 549-0888	Mona Abutouk, 1235 Osos St Ste 100, San Luis Obispo, CA 93401-3619 Ph: (805) 549-0888

Reviews and Comments

Pediatrics Doctors in San Luis Obispo, CA

Dr. Kathleen L Long, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1235 Osos St, Suite 100, San Luis Obispo, CA 93401 Phone: 805-549-0888 Fax: 805-549-8463
Dr. Thomas A Wilson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Murray Ave, San Luis Obispo, CA 93405 Phone: 805-546-7692 Fax: 805-546-7932
Natasha Raja, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Murray St, San Luis Obispo, CA 93405 Phone: 888-350-2911 Fax: 702-369-5827
Dr. Rene Henry Bravo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 California Blvd, Suite J, San Luis Obispo, CA 93401 Phone: 805-544-4460
Dr. Susan Sharon Klaw Trout, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1235 Osos St Ste 100, San Luis Obispo, CA 93401 Phone: 805-549-0888 Fax: 805-549-8463
Dr. Wanda L Lo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1235 Osos St, Suite 100, San Luis Obispo, CA 93401 Phone: 805-549-0888 Fax: 805-549-8463
Dr. Sarah Van Camp, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1551 Bishop St, San Luis Obispo, CA 93401 Phone: 805-238-7250

Mona Abutouk, - Medicare Pediatrics in San Luis Obispo, CA