Dr Jennifer Josephine D'sa, MD - Medicare Family Medicine in Fontana, CA

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Dr Jennifer Josephine D'sa, MD is a medicare enrolled "Family Medicine" physician in Fontana, California. Her current practice location is 17500 Foothill Blvd, #a-2, Fontana, California. You can reach out to her office (for appointments etc.) via phone at (909) 428-0170.

Dr Jennifer Josephine D'sa is licensed to practice in California (license number A122614) 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 1750510251.

Contact Information

Dr Jennifer Josephine D'sa, MD
17500 Foothill Blvd, #a-2,
Fontana, CA 92335-3798
(909) 428-0170
(877) 778-9312

Map and Direction




Physician's Profile

Full NameDr Jennifer Josephine D'sa
GenderFemale
SpecialityFamily Medicine
Location17500 Foothill Blvd, Fontana, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750510251
  • Provider Enumeration Date: 07/07/2009
  • Last Update Date: 09/19/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 0648423475
  • Enrollment ID: I20130103000410

Medical Identifiers

Medical identifiers for Dr Jennifer Josephine D'sa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750510251NPI-NPPES
P01282961/DU4034OtherCARAILROAD MEDICARE-FONTANA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A122614 (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 Jennifer Josephine D'sa allows following entities to bill medicare on her behalf.
Entity NameLasalle Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275661084
PECOS PAC ID: 1557301744
Enrollment ID: O20050506000376

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 Jennifer Josephine D'sa 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 Jennifer Josephine D'sa, MD
200 Oceangate, Suite 100,
Long Beach, CA 90802-4317

Ph: (909) 428-0170		Dr Jennifer Josephine D'sa, MD
17500 Foothill Blvd, #a-2,
Fontana, CA 92335-3798

Ph: (909) 428-0170

Reviews and Comments


Family Medicine Doctors in Fontana, CA

Robert M. Theal, MD
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Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 909-427-3910    
Todd A. Westra, MD
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Practice Location: 9961 Sierra Ave, Fontana, CA 92335
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Pushkar Chand, M.D.
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Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 909-427-5000    
Huy Phan,
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Practice Location: 9961 Sierra Ave, Fontana, CA 92335
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William J. Delo, DO
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Medicare: Medicare Enrolled
Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 909-427-3910    
John R. Sharpe Jr., MD
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Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 909-427-3910    
Miguel Angel Martinez, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 16854 Ivy Ave Ste A, Fontana, CA 92335
Phone: 909-791-1000    Fax: 909-781-6000

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.