Dr Peter Fedullo, MD in San Diego, CA - Medicare Internal Medicine

Dr Peter Fedullo, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in San Diego, California. His current practice location is 200 W Arbor Dr, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 543-7752.

Dr Peter Fedullo is licensed to practice in California (license number G41977) 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 1427073683.

Contact Information

	Dr Peter Fedullo, MD
	200 W Arbor Dr, San Diego, CA 92103-9000
	(619) 543-7752
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Peter Fedullo
Gender	Male
Speciality	Internal Medicine - Pulmonary Disease
Location	200 W Arbor Dr, 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: 1427073683
Provider Enumeration Date: 07/12/2006
Last Update Date: 01/17/2019

Medicare PECOS Information:

PECOS PAC ID: 2567586738
Enrollment ID: I20100825000951

Medical Identifiers

Medical identifiers for Dr Peter Fedullo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427073683	NPI	-	NPPES
00G419770	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	G41977 (California)	Primary
207RC0200X	Internal Medicine - Critical Care Medicine	G41977 (California)	Secondary

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 Peter Fedullo allows following entities to bill medicare on his behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386762300 PECOS PAC ID: 3577476761 Enrollment ID: O20040430001307

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 Peter Fedullo 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 Peter Fedullo, MD Po Box 232410, San Diego, CA 92193-2410 Ph: () -	Dr Peter Fedullo, MD 200 W Arbor Dr, San Diego, CA 92103-9000 Ph: (619) 543-7752

Reviews and Comments

Internal Medicine Doctors in San Diego, CA

Dr. Ramin Motarjemi, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 858-249-2500 Fax: 858-657-8069
Dr. Shweta Warner, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-221-6258 Fax: 619-221-6012
Dr. Matthew James Roosevelt, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, Department Of Hospital Medicine, San Diego, CA 92120 Phone: 619-952-5091
Marin Nishimura-kaminski, Pulmonary Disease Medicare: May Accept Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781
Belicia Kuang-chieh Ding, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781
Jedidiah Daniel Bell, Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 619-471-0434
Dr. Umber Dube, MD PHD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781

Dr Peter Fedullo, MD - Medicare Internal Medicine in San Diego, CA