Ivy C Issa, MD in San Ysidro, CA - Medicare Geriatric Medicine

Ivy C Issa, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in San Ysidro, California. She graduated from medical school in 1978 and has 48 years of diverse experience with area of expertise as Geriatric Medicine. She is a member of the group practice Wisdom Health Pc and her current practice location is 3364 Beyer Blvd Ste 102, San Ysidro, California. You can reach out to her office (for appointments etc.) via phone at (619) 662-4100.

Ivy C Issa is licensed to practice in California (license number C53735) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1891796165.

Contact Information

	Ivy C Issa, MD
	3364 Beyer Blvd Ste 102, San Ysidro, CA 92173-1322
	(619) 662-4100
	Not Available

Map and Direction

Physician's Profile

Full Name	Ivy C Issa
Gender	Female
Speciality	Geriatric Medicine
Experience	48 Years
Location	3364 Beyer Blvd Ste 102, San Ysidro, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ivy C Issa graduated from medical school in 1978

NPI Data:

NPI Number: 1891796165
Provider Enumeration Date: 08/09/2005
Last Update Date: 05/14/2024

Medicare PECOS Information:

PECOS PAC ID: 0648248096
Enrollment ID: I20220822001515

Medical Identifiers

Medical identifiers for Ivy C Issa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891796165	NPI	-	NPPES
136W5	Other	NC	BCBS
380001702	Other		RAILROAD MEDICARE B
89130RF	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0002X	Internal Medicine - Hospice And Palliative Medicine	DR.0068779 (Colorado)	Secondary
207RG0300X	Internal Medicine - Geriatric Medicine	C53735 (California)	Primary
207RG0300X	Internal Medicine - Geriatric Medicine	DR.0068779 (Colorado)	Secondary
207R00000X	Internal Medicine	DR.0068779 (Colorado)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tru Community Care - Lafayette	Lafayette, CO	Hospice
Boulder Community Health	Boulder, CO	Hospital
Longs Peak Hospital	Longmont, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wisdom Health Pc	4284762501	9

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. Ivy C Issa allows following entities to bill medicare on her behalf.

Entity Name	Catholic Health Initiatives Colorado
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462

Entity Name	Portercare Adventist Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760761928 PECOS PAC ID: 0941110886 Enrollment ID: O20090115000327

Entity Name	Wisdom Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407187636 PECOS PAC ID: 4284762501 Enrollment ID: O20100506001042

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. Ivy C Issa 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
Ivy C Issa, MD 2080 Colorado St, Redlands, CA 92374-1649 Ph: () -	Ivy C Issa, MD 3364 Beyer Blvd Ste 102, San Ysidro, CA 92173-1322 Ph: (619) 662-4100

Reviews and Comments

Internal Medicine Doctors in San Ysidro, CA

Sharonya Shrivastava, Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100
Dr. Martin Valera Consunji, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100
Andrea Helen Polesky, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100
Jerry Chun-han Chen, Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100
Michele A. Lamantia, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro Health Center, San Ysidro, CA 92173 Phone: 619-917-7122 Fax: 619-474-3722
Ms. Kelley Alexis Butler, MD, MPH Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 4050 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100
Dr. Chitra Fernando, M.D. Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 3364 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100

Ivy C Issa, MD - Medicare Geriatric Medicine in San Ysidro, CA