Dr Justin La, MD in San Rafael, CA

Dr Justin La, MD is a medicare enrolled "Urology" physician in San Rafael, California. His current practice location is 99 Montecillo Rd, San Rafael, California. You can reach out to his office (for appointments etc.) via phone at (415) 444-2919.

Dr Justin La is licensed to practice in California (license number A152841) 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 1063867513.

Contact Information

	Dr Justin La, MD
	99 Montecillo Rd, San Rafael, CA 94903-3308
	(415) 444-2919
	(415) 444-2328

Map and Direction

Physician's Profile

Full Name	Dr Justin La
Gender	Male
Speciality	Urology
Location	99 Montecillo Rd, San Rafael, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063867513
Provider Enumeration Date: 05/03/2016
Last Update Date: 08/30/2022

Medicare PECOS Information:

PECOS PAC ID: 4789948142
Enrollment ID: I20231212003866

Medical Identifiers

Medical identifiers for Dr Justin La such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063867513	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	A152841 (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 Justin La allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Justin La 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 Justin La, MD 99 Montecillo Rd, San Rafael, CA 94903-3308 Ph: (415) 444-2919	Dr Justin La, MD 99 Montecillo Rd, San Rafael, CA 94903-3308 Ph: (415) 444-2919

Reviews and Comments

Urology Doctors in San Rafael, CA

Jay S. Belani, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000
Paul F. Alpert, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000
Gary S. Nicolaisen, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000
Joseph H. Lee, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000
Anthony A. Eason, MD Urology Medicare: Medicare Enrolled Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000

Dr Justin La, MD - Medicare Urology in San Rafael, CA