Elizabeth Allison Van Dyne, MD in Los Angeles, CA

Elizabeth Allison Van Dyne, MD is a medicare enrolled "Pediatrics" physician in Los Angeles, California. Her current practice location is 4700 W Sunset Blvd, Module 4-b, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (800) 954-8000.

Elizabeth Allison Van Dyne is licensed to practice in California (license number A119828) 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 1235499161.

Contact Information

	Elizabeth Allison Van Dyne, MD
	4700 W Sunset Blvd, Module 4-b, Los Angeles, CA 90027-6082
	(800) 954-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Elizabeth Allison Van Dyne
Gender	Female
Speciality	Pediatrics
Location	4700 W Sunset Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235499161
Provider Enumeration Date: 05/25/2012
Last Update Date: 05/25/2012

Medicare PECOS Information:

PECOS PAC ID: 6901050202
Enrollment ID: I20190408000967

Medical Identifiers

Medical identifiers for Elizabeth Allison Van Dyne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235499161	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A119828 (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. Elizabeth Allison Van Dyne allows following entities to bill medicare on her behalf.

Entity Name	Ton Sells Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487652426 PECOS PAC ID: 5092768663 Enrollment ID: O20050301000125

Entity Name	Ton San Simon Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588834998 PECOS PAC ID: 8123194354 Enrollment ID: O20081111000398

Entity Name	Dhhs Ihs Phoenix Area
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427335140 PECOS PAC ID: 2668649567 Enrollment ID: O20120117000781

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. Elizabeth Allison Van Dyne 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
Elizabeth Allison Van Dyne, MD 4700 W Sunset Blvd, Module 4-b, Los Angeles, CA 90027-6082 Ph: (800) 954-8000	Elizabeth Allison Van Dyne, MD 4700 W Sunset Blvd, Module 4-b, Los Angeles, CA 90027-6082 Ph: (800) 954-8000

Reviews and Comments

Pediatrics Doctors in Los Angeles, CA

Dr. Mark Hendrik Corden, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-361-8893 Fax: 323-361-1814
Ms. Roberta Miyeko Kato, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-361-2101 Fax: 323-361-1355
Meera Dhirubhai Kanani, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1240 N Mission Rd, Los Angeles, CA 90033 Phone: 323-226-3691
Dr. Marisa Danbee Oh, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2020 Zonal Ave, Lac-usc Med Ctr- Interns/residents Building, Room 112, Los Angeles, CA 90089 Phone: 626-241-0704
Dr. Tiffany Prugpichailers Pedigo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz, B711 Rrumc, Los Angeles, CA 90095 Phone: 310-267-9129
Neema Izadi, MD, MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4650 W Sunset Blvd # 75, Los Angeles, CA 90027 Phone: 323-361-2501 Fax: 323-361-1191
Jennifer Stephanie Menjivar-lopez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3671 W 6th St Ste A, Los Angeles, CA 90020 Phone: 213-235-2500

Elizabeth Allison Van Dyne, MD - Medicare Pediatrics in Los Angeles, CA