Dr Johannah Valentine, MD is a medicare enrolled "Dermatology" physician in Vista, California. She went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 2005 and has 19 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Advanced Dermatology Llc and her current practice location is
1934 Via Ctr, Vista, California. You can reach out to her office (for appointments etc.) via phone at
(760) 295-2299.
Dr Johannah Valentine is licensed to practice in California (license number 136249) 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 1508932294.
Physician's Profile
Full Name | Dr Johannah Valentine |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 19 Years |
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Location | 1934 Via Ctr, Vista, California |
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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:
- Dr Johannah Valentine attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 2005
NPI Data:
- NPI Number: 1508932294
- Provider Enumeration Date: 11/27/2006
- Last Update Date: 06/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 9234432758
- Enrollment ID: I20190514001999
Medical Identifiers
Medical identifiers for Dr Johannah Valentine such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508932294 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 136249 (California) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Advanced Dermatology Llc | 5092706945 | 9 |
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 Johannah Valentine allows following entities to bill medicare on her behalf.
Entity Name | Advanced Dermatology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609892298 PECOS PAC ID: 5092706945 Enrollment ID: O20040520000408 |
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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 Johannah Valentine 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 Johannah Valentine, MD 34800 Bob Wilson Dr, San Diego, CA 92104 Ph: () - | Dr Johannah Valentine, MD 1934 Via Ctr, Vista, CA 92081-6056 Ph: (760) 295-2299 |
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