Song Chi Lu, MD in Santa Rosa, CA - Medicare Hospitalist

Song Chi Lu, MD is a medicare enrolled "Hospitalist" physician in Santa Rosa, California. His current practice location is 1165 Montgomery Dr, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 546-3210.

Song Chi Lu is licensed to practice in California (license number A185942) 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 1346864709.

Contact Information

	Song Chi Lu, MD
	1165 Montgomery Dr, Santa Rosa, CA 95405-4801
	(707) 546-3210
	Not Available

Map and Direction

Physician's Profile

Full Name	Song Chi Lu
Gender	Male
Speciality	Hospitalist
Location	1165 Montgomery Dr, Santa Rosa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346864709
Provider Enumeration Date: 06/02/2020
Last Update Date: 09/13/2023

Medicare PECOS Information:

PECOS PAC ID: 8820411127
Enrollment ID: I20230921002251

Medical Identifiers

Medical identifiers for Song Chi Lu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346864709	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	A185942 (California)	Primary
390200000X	Student In An Organized Health Care Education/training Program	PG199024 (Oregon)	Secondary

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. Song Chi Lu allows following entities to bill medicare on his behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Song Chi Lu 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
Song Chi Lu, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494	Song Chi Lu, MD 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 Ph: (707) 546-3210

Reviews and Comments

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Felicity A. Mcnichol, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000

Song Chi Lu, MD - Medicare Hospitalist in Santa Rosa, CA