Dr Jacob Alan Weatherly, MD - Medicare Pediatrics in San Diego, CA

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Dr Jacob Alan Weatherly, MD is a medicare enrolled "Pediatrics" physician in San Diego, California. His current practice location is 6699 Alvarado Rd Ste 2200, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 265-3400.

Dr Jacob Alan Weatherly is licensed to practice in California (license number A150920) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538520457.

Contact Information

Dr Jacob Alan Weatherly, MD
6699 Alvarado Rd Ste 2200,
San Diego, CA 92120-5253
(619) 265-3400
Not Available

Map and Direction




Physician's Profile

Full NameDr Jacob Alan Weatherly
GenderMale
SpecialityPediatrics
Location6699 Alvarado Rd Ste 2200, San Diego, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538520457
  • Provider Enumeration Date: 03/20/2016
  • Last Update Date: 06/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3072856780
  • Enrollment ID: I20190521002644

Medical Identifiers

Medical identifiers for Dr Jacob Alan Weatherly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538520457NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics A150920 (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. Dr Jacob Alan Weatherly allows following entities to bill medicare on his behalf.
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588721500
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000757
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699885079
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000784
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Other Medical Care Group
Entity IdentifiersNPI Number: 1629301346
PECOS PAC ID: 1254244973
Enrollment ID: O20110318000170

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 Jacob Alan Weatherly 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
Dr Jacob Alan Weatherly, MD
6699 Alvarado Rd Ste 2200,
San Diego, CA 92120-5253

Ph: () -		Dr Jacob Alan Weatherly, MD
6699 Alvarado Rd Ste 2200,
San Diego, CA 92120-5253

Ph: (619) 265-3400

Reviews and Comments


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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.

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