Ms Susan K Moon Labriola, NP is a medicare enrolled "Clinical Nurse Specialist - Oncology" in San Luis Obispo, California. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is
715 Tank Farm Road, Suite C, San Luis Obispo, California. You can reach out to her office (for appointments etc.) via phone at
(805) 543-5577.
Ms Susan K Moon Labriola is licensed to practice in California (license number 15865) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861609414.
Provider's Profile
| Full Name | Ms Susan K Moon Labriola |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 19 Years |
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| Location | 715 Tank Farm Road, San Luis Obispo, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Susan K Moon Labriola graduated from nursing school in 2005
NPI Data:
- NPI Number: 1861609414
- Provider Enumeration Date: 05/16/2007
- Last Update Date: 12/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 4284783044
- Enrollment ID: I20090527000403
Medical Identifiers
Medical identifiers for Ms Susan K Moon Labriola such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861609414 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SX0200X | Clinical Nurse Specialist - Oncology | 15865 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southern California Permanente Medical Group | 6002729175 | 8172 |
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 K Moon Labriola allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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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 K Moon Labriola 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 |
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Ms Susan K Moon Labriola, NP
117 West Bunny Avenue,
Santa Maria, CA 93458-2805
Ph: (805) 543-5577 | Ms Susan K Moon Labriola, NP
715 Tank Farm Road, Suite C,
San Luis Obispo, CA 93401-7068
Ph: (805) 543-5577 |
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