Dr Lisa Yun Xu, MD in Newport Beach, CA

Dr Lisa Yun Xu, MD is a medicare enrolled "Dermatology" physician in Newport Beach, California. Her current practice location is 5010 Campus Dr Ste 120, Newport Beach, California. You can reach out to her office (for appointments etc.) via phone at (949) 773-4784.

Dr Lisa Yun Xu is licensed to practice in Maryland (license number D75158) 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 1013118256.

Contact Information

	Dr Lisa Yun Xu, MD
	5010 Campus Dr Ste 120, Newport Beach, CA 92660-2120
	(949) 773-4784
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Lisa Yun Xu
Gender	Female
Speciality	Dermatology
Location	5010 Campus Dr Ste 120, Newport Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013118256
Provider Enumeration Date: 05/29/2007
Last Update Date: 10/19/2023

Medicare PECOS Information:

PECOS PAC ID: 6507059565
Enrollment ID: I20171003007354

Medical Identifiers

Medical identifiers for Dr Lisa Yun Xu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013118256	NPI	-	NPPES
061198100	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	01068724A (Indiana)	Secondary
207N00000X	Dermatology	D75158 (Maryland)	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 Lisa Yun Xu allows following entities to bill medicare on her behalf.

Entity Name	United Medical Doctors
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770559981 PECOS PAC ID: 2961305651 Enrollment ID: O20040129001069

Entity Name	Md Solutions Medical Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902837735 PECOS PAC ID: 1759379993 Enrollment ID: O20040505000671

Entity Name	Southern California Dermatology, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386629905 PECOS PAC ID: 3678645918 Enrollment ID: O20080702000305

Entity Name	Daniel Gene Kolder Md A California Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598006652 PECOS PAC ID: 0143466870 Enrollment ID: O20130424000796

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 Lisa Yun Xu 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 Lisa Yun Xu, MD 5010 Campus Dr Ste 120, Newport Beach, CA 92660-2120 Ph: () -	Dr Lisa Yun Xu, MD 5010 Campus Dr Ste 120, Newport Beach, CA 92660-2120 Ph: (949) 773-4784

Reviews and Comments

Dermatology Doctors in Newport Beach, CA

Annette Mcauley, RN Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1401 Avocado Ave, Ste 703, Newport Beach, CA 92660 Phone: 949-760-0190 Fax: 949-760-0439
Laila M. Elkeeb, MD Dermatology Medicare: Medicare Enrolled Practice Location: 20301 Sw Birch St, 100, Newport Beach, CA 92660 Phone: 949-251-1502 Fax: 949-251-1522
Dr. Cynthia Chen Lazzaro, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1617 Westcliff Dr, Suite 100, Newport Beach, CA 92660 Phone: 949-515-4111
Samuel R Peterson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 360 San Miguel Dr Ste 309, Newport Beach, CA 92660 Phone: 949-640-0434
Nancy Lee Silverberg, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1401 Avocado Ave, Ste 703, Newport Beach, CA 92660 Phone: 949-760-0190 Fax: 949-760-0439
Mrs. Kathleen P Hutton, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1441 Avocado Ave, Suite 309, Newport Beach, CA 92660 Phone: 949-644-8556 Fax: 949-644-6318

Dr Lisa Yun Xu, MD - Medicare Dermatology in Newport Beach, CA