Dr Michael W Kistler, MD - Medicare Radiology in San Diego, CA

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Dr Michael W Kistler, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in San Diego, California. His current practice location is 501 Washington St, Ste 510, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 819-6501.

Dr Michael W Kistler is licensed to practice in California (license number G17434) 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 1508811175.

Contact Information

Dr Michael W Kistler, MD
501 Washington St, Ste 510,
San Diego, CA 92103-2231
(619) 819-6501
Not Available

Map and Direction




Physician's Profile

Full NameDr Michael W Kistler
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location501 Washington St, San Diego, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508811175
  • Provider Enumeration Date: 05/23/2006
  • Last Update Date: 05/07/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 0446209225
  • Enrollment ID: I20210920002402

Medical Identifiers

Medical identifiers for Dr Michael W Kistler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508811175NPI-NPPES
00G174340MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology G17434 (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 Michael W Kistler allows following entities to bill medicare on his behalf.
Entity NameRadadvantage A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376719666
PECOS PAC ID: 2163597899
Enrollment ID: O20090304000478
Entity NamePco Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881230563
PECOS PAC ID: 5395179329
Enrollment ID: O20200806001480
Entity NameOn-line Radiology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710158498
PECOS PAC ID: 0648311548
Enrollment ID: O20201002002241
Entity NameCentral Valley Community Medical Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376637264
PECOS PAC ID: 5799679874
Enrollment ID: O20211116001921
Entity NameRiverside Radiology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699776526
PECOS PAC ID: 2365412327
Enrollment ID: O20211230000474

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 Michael W Kistler 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 AddressPractice Location Address
Dr Michael W Kistler, MD
Po Box 910514,
San Diego, CA 92191-0514

Ph: () -		Dr Michael W Kistler, MD
501 Washington St, Ste 510,
San Diego, CA 92103-2231

Ph: (619) 819-6501

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.