Dr Loubert Steven Suddaby, MD is a medicare enrolled "Neurological Surgery" physician in Hamburg, New York. His current practice location is
4855 Camp Rd Ste 400, Hamburg, New York. You can reach out to his office (for appointments etc.) via phone at
(716) 648-6875.
Dr Loubert Steven Suddaby is licensed to practice in New York (license number 193722) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609869783.
Physician's Profile
| Full Name | Dr Loubert Steven Suddaby |
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| Gender | Male |
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| Speciality | Neurological Surgery |
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| Location | 4855 Camp Rd Ste 400, Hamburg, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1609869783
- Provider Enumeration Date: 08/24/2005
- Last Update Date: 06/26/2019
Medicare PECOS Information:
- PECOS PAC ID: 4688569841
- Enrollment ID: I20110329000404
Medical Identifiers
Medical identifiers for Dr Loubert Steven Suddaby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1609869783 | NPI | - | NPPES |
| 0002052461 | Other | NY | UNIVERA |
| 000523004003 | Other | NY | BCBS |
| 111253CG | Other | NY | PREFERRED CARE |
| 0607039 | Other | NY | INDEPENDENT HEALTH |
| 140003497 | Other | NY | RR MEDICARE |
| 6001373 | Other | NY | GROUP HEALTH INC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207T00000X | Neurological Surgery | 193722 (New York) | 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. Dr Loubert Steven Suddaby allows following entities to bill medicare on his behalf.
| Entity Name | General Physician Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093959322 PECOS PAC ID: 9537213079 Enrollment ID: O20090818000154 |
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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. Dr Loubert Steven Suddaby 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 |
Dr Loubert Steven Suddaby, MD 4855 Camp Rd Ste 400, Hamburg, NY 14075-2600 Ph: (716) 648-6875 | Dr Loubert Steven Suddaby, MD 4855 Camp Rd Ste 400, Hamburg, NY 14075-2600 Ph: (716) 648-6875 |
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