Ms Susan Callaway Ferguson, MD in Oakland, CA

Ms Susan Callaway Ferguson, MD is a medicare enrolled "Internal Medicine - Addiction Medicine" physician in Oakland, California. Her current practice location is 616 16th St, Oakland, California. You can reach out to her office (for appointments etc.) via phone at (510) 451-4270.

Ms Susan Callaway Ferguson is licensed to practice in California (license number A68471) 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 1093756678.

Contact Information

	Ms Susan Callaway Ferguson, MD
	616 16th St, Oakland, CA 94612
	(510) 451-4270
	(510) 451-4285

Map and Direction

Physician's Profile

Full Name	Ms Susan Callaway Ferguson
Gender	Female
Speciality	Internal Medicine - Addiction Medicine
Location	616 16th St, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093756678
Provider Enumeration Date: 06/08/2006
Last Update Date: 03/04/2014

Medicare PECOS Information:

PECOS PAC ID: 6709855679
Enrollment ID: I20040928000343

Medical Identifiers

Medical identifiers for Ms Susan Callaway Ferguson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093756678	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A68471 (California)	Secondary
207RA0401X	Internal Medicine - Addiction Medicine	A68471 (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. Ms Susan Callaway Ferguson allows following entities to bill medicare on her behalf.

Entity Name	Lifelong Medical Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689670002 PECOS PAC ID: 2062304538 Enrollment ID: O20050713000704

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. Ms Susan Callaway Ferguson 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
Ms Susan Callaway Ferguson, MD 616 16th St, Oakland Ca, CA 94612 Ph: (510) 451-4270	Ms Susan Callaway Ferguson, MD 616 16th St, Oakland, CA 94612 Ph: (510) 451-4270

Reviews and Comments

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Ms Susan Callaway Ferguson, MD - Medicare Internal Medicine in Oakland, CA