Stephanie Anne Luby, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Granite Bay, California. Her current practice location is
9080 Oak Leaf Way, Granite Bay, California. You can reach out to her office (for appointments etc.) via phone at
(831) 345-0880.
Stephanie Anne Luby is licensed to practice in California (license number 3952) 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 1851611396.
Provider's Profile
Full Name | Stephanie Anne Luby |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 9080 Oak Leaf Way, Granite Bay, California |
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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: 1851611396
- Provider Enumeration Date: 06/07/2010
- Last Update Date: 03/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 9032366331
- Enrollment ID: I20120821000818
Medical Identifiers
Medical identifiers for Stephanie Anne Luby such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851611396 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 674700 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 674700 (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 3952 (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. Stephanie Anne Luby allows following entities to bill medicare on her behalf.
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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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. Stephanie Anne Luby 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 |
Stephanie Anne Luby, RN 10400 Miloann St, Temple City, CA 91780-3471 Ph: (831) 345-0880 | Stephanie Anne Luby, RN 9080 Oak Leaf Way, Granite Bay, CA 95746-8903 Ph: (831) 345-0880 |
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