Dr Leslie Ghisletta, MD in Colton, CA

Dr Leslie Ghisletta, MD is a medicare enrolled "Surgery - Surgical Critical Care" physician in Colton, California. Her current practice location is 400 N Pepper Ave, Colton, California. You can reach out to her office (for appointments etc.) via phone at (909) 580-3353.

Dr Leslie Ghisletta is licensed to practice in Georgia (license number 69408) 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 1851553705.

Contact Information

	Dr Leslie Ghisletta, MD
	400 N Pepper Ave, Colton, CA 92324-1801
	(909) 580-3353
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Leslie Ghisletta
Gender	Female
Speciality	Surgery - Surgical Critical Care
Location	400 N Pepper Ave, Colton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851553705
Provider Enumeration Date: 07/01/2008
Last Update Date: 11/05/2020

Medicare PECOS Information:

PECOS PAC ID: 3274759246
Enrollment ID: I20140728001960

Medical Identifiers

Medical identifiers for Dr Leslie Ghisletta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851553705	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	A146374 (California)	Secondary
208600000X	Surgery	69408 (Georgia)	Secondary
2086S0102X	Surgery - Surgical Critical Care	A146374 (California)	Secondary
2086S0127X	Surgery - Trauma Surgery	A146374 (California)	Secondary
2086S0127X	Surgery - Trauma Surgery	69408 (Georgia)	Secondary
2086S0102X	Surgery - Surgical Critical Care	69408 (Georgia)	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 Leslie Ghisletta allows following entities to bill medicare on her behalf.

Entity Name	Emory Medical Care Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968

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 Leslie Ghisletta 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 Leslie Ghisletta, MD 400 N Pepper Ave Ste 308, Colton, CA 92324-1801 Ph: (909) 580-3353	Dr Leslie Ghisletta, MD 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-3353

Reviews and Comments

Surgery Doctors in Colton, CA

Keith James Glover, Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave Ste 308, Colton, CA 92324 Phone: 877-873-2762
Dr. Farabi M. Hussain, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N. Pepper Ave., Surgery - Mob 308, Colton, CA 92324 Phone: 909-580-3353 Fax: 909-580-1363
Appannagari Gnanadev, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Armc Modular # 3, Colton, CA 92324 Phone: 909-580-6210 Fax: 909-580-1363
Justin Rodriguez, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3360
Milton Retamozo, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Dept Surgery Modular # 3, Colton, CA 92324 Phone: 909-580-3353 Fax: 909-580-1363
Sadia Khan, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000 Fax: 909-580-1363
Dr. Samuel Schwartz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave Ste 308, Colton, CA 92324 Phone: 909-580-3353

Dr Leslie Ghisletta, MD - Medicare Surgery in Colton, CA