Susan Suzuki Wellborn, NURSE PRACTITIONER in Long Beach, CA

Susan Suzuki Wellborn, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Long Beach, California. Her current practice location is 1043 Elm Ave, Suite 300, Long Beach, California. You can reach out to her office (for appointments etc.) via phone at (562) 624-4908.

Susan Suzuki Wellborn is licensed to practice in California (license number 283744) 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 1578699484.

Contact Information

	Susan Suzuki Wellborn, NURSE PRACTITIONER
	1043 Elm Ave, Suite 300, Long Beach, CA 90813-3271
	(562) 624-4908
	(562) 491-9128

Map and Direction

Provider's Profile

Full Name	Susan Suzuki Wellborn
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1043 Elm Ave, Long Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578699484
Provider Enumeration Date: 02/26/2007
Last Update Date: 11/05/2010

Medicare PECOS Information:

PECOS PAC ID: 4284951393
Enrollment ID: I20150331000941

Medical Identifiers

Medical identifiers for Susan Suzuki Wellborn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578699484	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	283744 (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 Suzuki Wellborn allows following entities to bill medicare on her behalf.

Entity Name	Dignity Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962527390 PECOS PAC ID: 2062320559 Enrollment ID: O20070907000354

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 Suzuki Wellborn 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 Suzuki Wellborn, NURSE PRACTITIONER 1043 Elm Ave, Suite 300, Long Beach, CA 90813-3271 Ph: (562) 624-4908	Susan Suzuki Wellborn, NURSE PRACTITIONER 1043 Elm Ave, Suite 300, Long Beach, CA 90813-3271 Ph: (562) 624-4908

Reviews and Comments

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Susan Suzuki Wellborn, NURSE PRACTITIONER - Medicare Nurse Practitioner in Long Beach, CA