Susan Lyla Adham, MD in Antioch, CA

Susan Lyla Adham, MD is a medicare enrolled "Pediatrics" physician in Antioch, California. Her current practice location is 4053 Lone Tree Way, Suite 101, Antioch, California. You can reach out to her office (for appointments etc.) via phone at (925) 756-3400.

Susan Lyla Adham is licensed to practice in California (license number A108068) 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 1215256599.

Contact Information

	Susan Lyla Adham, MD
	4053 Lone Tree Way, Suite 101, Antioch, CA 94531-6210
	(925) 756-3400
	(925) 757-6387

Map and Direction

Physician's Profile

Full Name	Susan Lyla Adham
Gender	Female
Speciality	Pediatrics
Location	4053 Lone Tree Way, Antioch, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215256599
Provider Enumeration Date: 05/25/2010
Last Update Date: 10/27/2017

Medicare PECOS Information:

PECOS PAC ID: 9739371378
Enrollment ID: I20101014000272

Medical Identifiers

Medical identifiers for Susan Lyla Adham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215256599	NPI	-	NPPES
A108068	Other	CA	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A108068 (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. Susan Lyla Adham allows following entities to bill medicare on her behalf.

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

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. Susan Lyla Adham 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
Susan Lyla Adham, MD 4053 Lone Tree Way Ste 101, Antioch, CA 94531-6210 Ph: (925) 756-3400	Susan Lyla Adham, MD 4053 Lone Tree Way, Suite 101, Antioch, CA 94531-6210 Ph: (925) 756-3400

Reviews and Comments

Pediatrics Doctors in Antioch, CA

Rosetta C. Newhall, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000
Dr. Melissa Rose, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3700 Sunset Ln, Suite 6, Antioch, CA 94509 Phone: 925-755-8500 Fax: 925-755-8200
Mr. Harry H. Huang, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 3700 Sunset Ln, #6, Antioch, CA 94509 Phone: 925-755-8500 Fax: 925-755-8200
Bernabe Floro Urbano Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000
Abbas Mahdavi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3700 Lone Tree Way # 3, Antioch, CA 94509 Phone: 925-754-7200
Deborah Fernandes, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4501 Sand Creek Rd, Antioch, CA 94531 Phone: 925-813-6375
Carl R. Ng, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000

Susan Lyla Adham, MD - Medicare Pediatrics in Antioch, CA