Mrs Faye Susan Lundergan, MD in Petaluma, CA

Mrs Faye Susan Lundergan, MD is a medicare enrolled "Pediatrics" physician in Petaluma, California. Her current practice location is 1456 Professional Dr Ste 405, Petaluma, California. You can reach out to her office (for appointments etc.) via phone at (707) 769-7500.

Mrs Faye Susan Lundergan is licensed to practice in California (license number A76943) 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 1174554240.

Contact Information

	Mrs Faye Susan Lundergan, MD
	1456 Professional Dr Ste 405, Petaluma, CA 94954
	(707) 769-7500
	(707) 769-7570

Map and Direction

Physician's Profile

Full Name	Mrs Faye Susan Lundergan
Gender	Female
Speciality	Pediatrics
Location	1456 Professional Dr Ste 405, Petaluma, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174554240
Provider Enumeration Date: 07/06/2006
Last Update Date: 03/31/2025

Medicare PECOS Information:

PECOS PAC ID: 8820999543
Enrollment ID: I20040115001181

Medical Identifiers

Medical identifiers for Mrs Faye Susan Lundergan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174554240	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A76943 (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. Mrs Faye Susan Lundergan allows following entities to bill medicare on her behalf.

Entity Name	Regents Univ Of California Ucsf
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124439807 PECOS PAC ID: 6305160300 Enrollment ID: O20150122001375

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. Mrs Faye Susan Lundergan 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
Mrs Faye Susan Lundergan, MD 1456 Professional Dr, Ste 405, Petaluma, CA 94954 Ph: (707) 769-7500	Mrs Faye Susan Lundergan, MD 1456 Professional Dr Ste 405, Petaluma, CA 94954 Ph: (707) 769-7500

Reviews and Comments

Pediatrics Doctors in Petaluma, CA

Dr. Lindsey Hibbard, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3920 Fax: 707-765-3461
Donald S. Hensley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3900
Dr. Eric D. Scher, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 400 4th St, Petaluma, CA 94952 Phone: 415-846-9160
Dr. Ian Christopher Hopper, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500
Carol A. Ekelund, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3900
Ms. Martha E Cueto-salas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 Fax: 707-559-7707

Mrs Faye Susan Lundergan, MD - Medicare Pediatrics in Petaluma, CA