Dr Susan Carla Dahlberg Noble, MD is a medicare enrolled "Anesthesiology" physician in Cascade Locks, Oregon. Her current practice location is
437 Nw Wa Na Pa St, Cascade Locks, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 740-9812.
Dr Susan Carla Dahlberg Noble is licensed to practice in Oregon (license number MD15783) 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 1720011521.
Physician's Profile
| Full Name | Dr Susan Carla Dahlberg Noble |
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| Gender | Female |
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| Speciality | Anesthesiology |
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| Location | 437 Nw Wa Na Pa St, Cascade Locks, Oregon |
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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: 1720011521
- Provider Enumeration Date: 07/08/2006
- Last Update Date: 09/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 5799719241
- Enrollment ID: I20050923000221
Medical Identifiers
Medical identifiers for Dr Susan Carla Dahlberg Noble such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1720011521 | NPI | - | NPPES |
| 269865 | Medicaid | OR | |
| HSP40248F | Medicaid | CA | |
| 8468910 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | A44114 (California) | Secondary |
| 207L00000X | Anesthesiology | MD15783 (Oregon) | 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 Susan Carla Dahlberg Noble allows following entities to bill medicare on her behalf.
| Entity Name | Legacy Clinics Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
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| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
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| Entity Name | Roseburg Anesthesiology Specialists |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649212432 PECOS PAC ID: 7810980596 Enrollment ID: O20040407000930 |
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| Entity Name | Cep America - Anesthesia Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235842196 PECOS PAC ID: 3678897915 Enrollment ID: O20230406000262 |
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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 Susan Carla Dahlberg Noble 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 Susan Carla Dahlberg Noble, MD 1015 Nw 22nd Ave, Portland, OR 97210-3025 Ph: (503) 413-8407 | Dr Susan Carla Dahlberg Noble, MD 437 Nw Wa Na Pa St, Cascade Locks, OR 97014-7014 Ph: (503) 740-9812 |
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