Dr Kathleen Mary Dully, MD in San Diego, CA

Dr Kathleen Mary Dully, MD is a medicare enrolled "Pediatrics" physician in San Diego, California. Her current practice location is 3020 Childrens Way, Mc 5014, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 966-5980.

Dr Kathleen Mary Dully is licensed to practice in California (license number G72961) 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 1487655536.

Contact Information

	Dr Kathleen Mary Dully, MD
	3020 Childrens Way, Mc 5014, San Diego, CA 92123-4223
	(858) 966-5980
	(858) 312-5360

Map and Direction

Physician's Profile

Full Name	Dr Kathleen Mary Dully
Gender	Female
Speciality	Pediatrics
Location	3020 Childrens Way, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487655536
Provider Enumeration Date: 08/10/2005
Last Update Date: 09/21/2009

Medicare PECOS Information:

PECOS PAC ID: 8022259217
Enrollment ID: I20250313003898

Medical Identifiers

Medical identifiers for Dr Kathleen Mary Dully such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487655536	NPI	-	NPPES
00G729610	Other	CA	MEDI-CAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	G72961 (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 Kathleen Mary Dully allows following entities to bill medicare on her behalf.

Entity Name	University Of Florida Jacksonville Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786

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 Kathleen Mary Dully 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 Kathleen Mary Dully, MD 3020 Childrens Way, Mc 5014, San Diego, CA 92123-4223 Ph: (858) 966-5980	Dr Kathleen Mary Dully, MD 3020 Childrens Way, Mc 5014, San Diego, CA 92123-4223 Ph: (858) 966-5980

Reviews and Comments

Pediatrics Doctors in San Diego, CA

Dr. Crystal Nguyen Le, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3020 Children's Way, Mc 5008, San Diego, CA 92123 Phone: 858-966-5818
Dr. Katherine N. Nyman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3010 Childrens Way, San Diego, CA 92123 Phone: 858-966-5818
Dr. Peter Hyun-soo Kim, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8695 Spectrum Center Blvd # 4004, San Diego, CA 92123 Phone: 858-499-4416
Dr. Paula Grayson, Pediatrics Medicare: Medicare Enrolled Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7969
Dr. Adriana Herrera Tremoulet, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3020 Childrens Way, San Diego, CA 92123 Phone: 858-966-7785
Dr. Javier Rodriguez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4060 Fairmount Ave, Pediatrics Department, San Diego, CA 92105 Phone: 619-255-9154 Fax: 619-795-9847
Robert Miller Sheets, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8110 Birmingham Way, San Diego, CA 92123 Phone: 858-966-8082

Dr Kathleen Mary Dully, MD - Medicare Pediatrics in San Diego, CA