Dale A Kooistra, MD, PHD in Poway, CA

Dale A Kooistra, MD, PHD is a medicare enrolled "Dermatology" physician in Poway, California. He went to Stanford University School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Dermatology. His current practice location is 15525 Pomerado Rd, Suite D2, Poway, California. You can reach out to his office (for appointments etc.) via phone at (858) 675-8001.

Dale A Kooistra is licensed to practice in California (license number G55734) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1831182971.

Contact Information

	Dale A Kooistra, MD, PHD
	15525 Pomerado Rd, Suite D2, Poway, CA 92064-2435
	(858) 675-8001
	(858) 487-1337

Map and Direction

Physician's Profile

Full Name	Dale A Kooistra
Gender	Male
Speciality	Dermatology
Experience	40 Years
Location	15525 Pomerado Rd, Poway, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dale A Kooistra attended and graduated from Stanford University School Of Medicine in 1984

NPI Data:

NPI Number: 1831182971
Provider Enumeration Date: 08/24/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1658565015
Enrollment ID: I20101029000319

Medical Identifiers

Medical identifiers for Dale A Kooistra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831182971	NPI	-	NPPES
00G557340	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	G55734 (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. Dale A Kooistra allows following entities to bill medicare on his behalf.

Entity Name	Rishu Gupta Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902519986 PECOS PAC ID: 8628424413 Enrollment ID: O20231031001706

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. Dale A Kooistra 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
Dale A Kooistra, MD, PHD 15525 Pomerado Rd, Suite D2, Poway, CA 92064-2435 Ph: (858) 675-8001	Dale A Kooistra, MD, PHD 15525 Pomerado Rd, Suite D2, Poway, CA 92064-2435 Ph: (858) 675-8001

Reviews and Comments

Dermatology Doctors in Poway, CA

Ernest Stanley Rodier, Frcpc,inc, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 15725 Pomerado Road, Suite 108, Poway, CA 92064 Phone: 858-485-8111 Fax: 858-485-9926
Dr. Anne Kathleen Truitt, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15611 Pomerado Rd Ste 400, Poway, CA 92064 Phone: 858-675-3140 Fax: 858-385-7855
Dr. Paul Chun-pu Jou, M.D., M.S. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15611 Pomerado Rd Ste 400, Poway, CA 92064 Phone: 858-657-3100
Ruth A Larson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15525 Pomerado Rd, Suite A2, Poway, CA 92064 Phone: 858-451-3311 Fax: 858-451-1142
Victoria Regina Barrio, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 15725 Pomerado Rd Ste 102, Poway, CA 92064 Phone: 619-267-8303 Fax: 619-267-4835
Naomi Travers, NP Dermatology Medicare: Medicare Enrolled Practice Location: 15725 Poway Road, Suite 102, Poway, CA 92064 Phone: 858-397-5755 Fax: 858-454-5724

Dale A Kooistra, MD, PHD - Medicare Dermatology in Poway, CA