Dr Krista Michelle Rodriguez-bruno, MD in La Jolla, CA

Dr Krista Michelle Rodriguez-bruno, MD is a medicare enrolled "Otolaryngology" physician in La Jolla, California. Her current practice location is 9834 Genesee Ave Ste 416, La Jolla, California. You can reach out to her office (for appointments etc.) via phone at (858) 458-1287.

Dr Krista Michelle Rodriguez-bruno is licensed to practice in California (license number A99037) 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 1073726444.

Contact Information

	Dr Krista Michelle Rodriguez-bruno, MD
	9834 Genesee Ave Ste 416, La Jolla, CA 92037-1264
	(858) 458-1287
	(858) 452-9160

Map and Direction

Physician's Profile

Full Name	Dr Krista Michelle Rodriguez-bruno
Gender	Female
Speciality	Otolaryngology
Location	9834 Genesee Ave Ste 416, La Jolla, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073726444
Provider Enumeration Date: 05/08/2007
Last Update Date: 10/21/2021

Medicare PECOS Information:

PECOS PAC ID: 3971791617
Enrollment ID: I20120228000056

Medical Identifiers

Medical identifiers for Dr Krista Michelle Rodriguez-bruno such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073726444	NPI	-	NPPES
037375300	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	D70424 (Maryland)	Secondary
207Y00000X	Otolaryngology	A99037 (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 Krista Michelle Rodriguez-bruno allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Krista Michelle Rodriguez-bruno 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 Krista Michelle Rodriguez-bruno, MD 9834 Genesee Ave Ste 416, La Jolla, CA 92037-1264 Ph: (858) 458-1287	Dr Krista Michelle Rodriguez-bruno, MD 9834 Genesee Ave Ste 416, La Jolla, CA 92037-1264 Ph: (858) 458-1287

Reviews and Comments

Otolaryngology Doctors in La Jolla, CA

Dr. Peter Dixon, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 9300 Campus Point Dr, La Jolla, CA 92037 Phone: 858-657-8590
Mahmood Mahdavi, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 9850 Genesee Ave, Ste 710, La Jolla, CA 92037 Phone: 858-458-9955 Fax: 858-452-7848
Tammy Pham, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 9300 Campus Point Dr # 7895, La Jolla, CA 92037 Phone: 619-321-8776
Dr. Keith Jay Wahl, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 8735 Nottingham Pl, La Jolla, CA 92037 Phone: 858-518-2190 Fax: 858-455-0655
Dr. Brendan Gaylis, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-8959 Fax: 858-784-5933
Dr. Benjamin Tyler Ostrander, MD, MSE Otolaryngology Medicare: Medicare Enrolled Practice Location: 9444 Medical Center Dr Fl 3, La Jolla, CA 92037 Phone: 619-543-5910

Dr Krista Michelle Rodriguez-bruno, MD - Medicare Otolaryngology in La Jolla, CA