Kelly Green Mazurek, MD in San Diego, CA - Medicare Internal Medicine

Kelly Green Mazurek, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in San Diego, California. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 4510 Viewridge Ave, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (866) 413-1582.

Kelly Green Mazurek is licensed to practice in California (license number A149649) 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 1487915203.

Contact Information

	Kelly Green Mazurek, MD
	4510 Viewridge Ave, San Diego, CA 92123
	(866) 413-1582
	Not Available

Map and Direction

Physician's Profile

Full Name	Kelly Green Mazurek
Gender	Female
Speciality	Internal Medicine
Experience	12 Years
Location	4510 Viewridge Ave, San Diego, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Green Mazurek graduated from medical school in 2012

NPI Data:

NPI Number: 1487915203
Provider Enumeration Date: 06/07/2012
Last Update Date: 11/29/2021

Medicare PECOS Information:

PECOS PAC ID: 9830418839
Enrollment ID: I20171019001077

Medical Identifiers

Medical identifiers for Kelly Green Mazurek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487915203	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	A149649 (California)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital - Zion	San diego, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	7951

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. Kelly Green Mazurek allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Kelly Green Mazurek 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
Kelly Green Mazurek, MD 4510 Viewridge Ave, San Diego, CA 92123-1637 Ph: (866) 413-1582	Kelly Green Mazurek, MD 4510 Viewridge Ave, San Diego, CA 92123 Ph: (866) 413-1582

Reviews and Comments

Internal Medicine Doctors in San Diego, CA

Dr. Ramin Motarjemi, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 858-249-2500 Fax: 858-657-8069
Dr. Shweta Warner, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-221-6258 Fax: 619-221-6012
Dr. Matthew James Roosevelt, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, Department Of Hospital Medicine, San Diego, CA 92120 Phone: 619-952-5091
Dr. Daniel Joseph Desantis, MD Nephrology Medicare: Medicare Enrolled Practice Location: Naval Medical Ctr, 34800 Bob Wilson Dr., San Diego, CA 92134 Phone: 619-532-7935
Kris Kumar, Nephrology Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781
Jedidiah Daniel Bell, Nephrology Medicare: Not Enrolled in Medicare Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 619-471-0434
Dr. Umber Dube, MD PHD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 8899 University Center Lane, Suite 350 Mc 0975, San Diego, CA 92122 Phone: 858-657-1675

Kelly Green Mazurek, MD - Medicare Internal Medicine in San Diego, CA