Nicole Rebecca Loeffler-siu, MD in Vallejo, CA

Nicole Rebecca Loeffler-siu, MD is a medicare enrolled "Pediatrics" physician in Vallejo, California. Her current practice location is 975 Sereno Dr, Vallejo, California. You can reach out to her office (for appointments etc.) via phone at (707) 651-1000.

Nicole Rebecca Loeffler-siu is licensed to practice in California (license number A116209) 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 1568743722.

Contact Information

	Nicole Rebecca Loeffler-siu, MD
	975 Sereno Dr, Vallejo, CA 94589-2441
	(707) 651-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Nicole Rebecca Loeffler-siu
Gender	Female
Speciality	Pediatrics
Location	975 Sereno Dr, Vallejo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568743722
Provider Enumeration Date: 09/01/2011
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 8527294735
Enrollment ID: I20131118001333

Medical Identifiers

Medical identifiers for Nicole Rebecca Loeffler-siu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568743722	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A116209 (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. Nicole Rebecca Loeffler-siu allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Nicole Rebecca Loeffler-siu 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
Nicole Rebecca Loeffler-siu, MD 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: () -	Nicole Rebecca Loeffler-siu, MD 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-1000

Reviews and Comments

Pediatrics Doctors in Vallejo, CA

Troy R. Barber, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Dr. Alan K Sher, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2001 Springs Rd, Vallejo, CA 94591 Phone: 707-648-7337 Fax: 707-643-6907
Dr. Maria Teruel, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Dr. Kimberly Lynn Seaton-smith, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Hospital Drive, Suite 200, Vallejo, CA 94589 Phone: 707-551-4900 Fax: 707-551-3617
Dr. Sophie A Lay, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2001 Springs Rd, Vallejo, CA 94591 Phone: 707-648-7337 Fax: 707-643-6907
Dr. Tami Hendriksz, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 365 Tuolumne St, Vallejo, CA 94590 Phone: 707-784-2001 Fax: 707-784-1494
Flordelina O. Arroyo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000

Nicole Rebecca Loeffler-siu, MD - Medicare Pediatrics in Vallejo, CA