Dr Cole Bradford Willoughby, MD in Chula Vista, CA

Dr Cole Bradford Willoughby, MD is a medicare enrolled "Dermatology - Dermatopathology" physician in Chula Vista, California. He went to Ohio State University College Of Medicine and graduated in 1968 and has 56 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Dermatology And Laser Center Of San Diego and his current practice location is 319 F St, Ste 102, Chula Vista, California. You can reach out to his office (for appointments etc.) via phone at (619) 476-1200.

Dr Cole Bradford Willoughby is licensed to practice in California (license number C36597) 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 1659375301.

Contact Information

	Dr Cole Bradford Willoughby, MD
	319 F St, Ste 102, Chula Vista, CA 91910-2666
	(619) 476-1200
	(619) 420-7849

Map and Direction

Physician's Profile

Full Name	Dr Cole Bradford Willoughby
Gender	Male
Speciality	Dermatology
Experience	56 Years
Location	319 F St, Chula Vista, 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:

Dr Cole Bradford Willoughby attended and graduated from Ohio State University College Of Medicine in 1968

NPI Data:

NPI Number: 1659375301
Provider Enumeration Date: 06/10/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7315113263
Enrollment ID: I20111227000696

Medical Identifiers

Medical identifiers for Dr Cole Bradford Willoughby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659375301	NPI	-	NPPES
00C365970	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0900X	Dermatology - Dermatopathology	C36597 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dermatology And Laser Center Of San Diego	5395748669	6

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. Dr Cole Bradford Willoughby allows following entities to bill medicare on his behalf.

Entity Name	Dermatology & Laser Center Of San Diego
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457396178 PECOS PAC ID: 5395748669 Enrollment ID: O20060807000479

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. Dr Cole Bradford Willoughby 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
Dr Cole Bradford Willoughby, MD 319 F St, Ste 102, Chula Vista, CA 91910-2666 Ph: (619) 476-1200	Dr Cole Bradford Willoughby, MD 319 F St, Ste 102, Chula Vista, CA 91910-2666 Ph: (619) 476-1200

Reviews and Comments

Dermatology Doctors in Chula Vista, CA

Dr. Erick Alfonso Mafong, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 319 F St, Ste 102, Chula Vista, CA 91910 Phone: 619-476-1200 Fax: 619-420-7849
Dr. Nancy Cheng Maly, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Palomar St, Chula Vista, CA 91913 Phone: 619-397-3295
Dr. Peter P Rullan, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 256 Landis Ave, 3rd Floor, Chula Vista, CA 91910 Phone: 619-426-9600 Fax: 619-426-4112
Dr. Mark Andrew Willoughby, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 319 F St, Ste 102, Chula Vista, CA 91910 Phone: 619-476-1200 Fax: 619-420-7849
Eugene James Nowak, D.O. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2440 Fenton Street, Suite 101, Chula Vista, CA 91914 Phone: 619-420-1840 Fax: 619-420-9630
Hanny Chan, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1400 E Palomar St, Chula Vista, CA 91913 Phone: 619-397-3295 Fax: 619-397-3381

Dr Cole Bradford Willoughby, MD - Medicare Dermatology in Chula Vista, CA