Susan Lee Roberts, CNM, WHNP is a medicare enrolled "Midwife" in Los Angeles, California. Her current practice location is
8635 W 3rd St Ste 160w, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(310) 967-8625.
Susan Lee Roberts is licensed to practice in California (license number 235992) 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 1861965352.
Provider's Profile
| Full Name | Susan Lee Roberts |
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| Gender | Female |
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| Speciality | Midwife |
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| Location | 8635 W 3rd St Ste 160w, Los Angeles, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1861965352
- Provider Enumeration Date: 01/07/2019
- Last Update Date: 01/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 5698197085
- Enrollment ID: I20200611001832
Medical Identifiers
Medical identifiers for Susan Lee Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861965352 | NPI | - | NPPES |
| 483840 | Other | CA | RN |
| 95010328 | Other | CA | WHNP |
| 235992 | Other | CA | CNM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 95010328 (California) | Secondary |
| 176B00000X | Midwife | 235992 (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 Lee Roberts allows following entities to bill medicare on her behalf.
| Entity Name | Cedars-sinai Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639172372
PECOS PAC ID: 0446169114
Enrollment ID: O20040204000886 |
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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. Susan Lee Roberts 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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Susan Lee Roberts, CNM, WHNP
4140 W 190th St,
Torrance, CA 90504-5513
Ph: (310) 967-8625 | Susan Lee Roberts, CNM, WHNP
8635 W 3rd St Ste 160w,
Los Angeles, CA 90048-6103
Ph: (310) 967-8625 |
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