Susana Herrera Ovalle, MD - Medicare Family Practice in San Pedro, CA

Susana Herrera Ovalle, MD is a medicare enrolled "Family Medicine" physician in San Pedro, California. She graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Healthcare Partners Affiliates Medical Group and her current practice location is 1499 W 1st St, San Pedro, California. You can reach out to her office (for appointments etc.) via phone at (310) 831-9482.

Susana Herrera Ovalle is licensed to practice in California (license number A97626) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437375268.

Contact Information

Susana Herrera Ovalle, MD
1499 W 1st St,
San Pedro, CA 90732-3255
(310) 831-9482
Not Available

Map and Direction




Physician's Profile

Full NameSusana Herrera Ovalle
GenderFemale
SpecialityFamily Practice
Experience33 Years
Location1499 W 1st St, San Pedro, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Susana Herrera Ovalle graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1437375268
  • Provider Enumeration Date: 04/18/2007
  • Last Update Date: 12/12/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 2163500968
  • Enrollment ID: I20080418000512

Medical Identifiers

Medical identifiers for Susana Herrera Ovalle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437375268NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A97626 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Healthcare Partners Affiliates Medical Group7315842002658

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. Susana Herrera Ovalle allows following entities to bill medicare on her behalf.
Entity NameHealthcare Partners Affiliates Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659312593
PECOS PAC ID: 7315842002
Enrollment ID: O20031204001258

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. Susana Herrera Ovalle 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 AddressPractice Location Address
Susana Herrera Ovalle, MD
337 W 230th St,
Carson, CA 90745-4711

Ph: (310) 830-6105
Susana Herrera Ovalle, MD
1499 W 1st St,
San Pedro, CA 90732-3255

Ph: (310) 831-9482

Reviews and Comments


Family Medicine Doctors in San Pedro, CA

Lawrence Bruce Greenberg, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1499 W 1st St, San Pedro, CA 90732
Phone: 310-831-9482    Fax: 310-831-1230
Krupa Shah, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 900 N Western Ave, San Pedro, CA 90732
Phone: 310-832-4225    Fax: 310-831-4860
Shanna Lee Darling, N.P.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1350 W 6th St, San Pedro, CA 90732
Phone: 310-415-5521    
Dr. Issa M Botros, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1499 W 1st St, San Pedro, CA 90732
Phone: 310-241-2590    
Mr. Francisco J Correa, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1350 W 6th St, Ste 3, San Pedro, CA 90732
Phone: 310-241-1000    Fax: 310-227-8225
Dr. Anh Tam Nguyen, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: Bldg 30, 2400 S Pacific Ave, San Pedro, CA 90731
Phone: 310-653-8668    
Michael Schreiber, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 660 W 7th St, San Pedro, CA 90731
Phone: 818-488-4711    Fax: 818-337-7105

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.