Jacqueline Miodownik-aisenberg, MD in San Bruno, CA

Jacqueline Miodownik-aisenberg, MD is a medicare enrolled "Internal Medicine" physician in San Bruno, California. She went to University Of Miami, Lm Miller School Of Medicine and graduated in 1999 and has 27 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Permanente Medical Group Inc and her current practice location is 901 El Camino Real, San Bruno, California. You can reach out to her office (for appointments etc.) via phone at (650) 742-2100.

Jacqueline Miodownik-aisenberg is licensed to practice in California (license number C164852) 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 1740210095.

Contact Information

	Jacqueline Miodownik-aisenberg, MD
	901 El Camino Real, San Bruno, CA 94066-3009
	(650) 742-2100
	(650) 742-1311

Map and Direction

Physician's Profile

Full Name	Jacqueline Miodownik-aisenberg
Gender	Female
Speciality	Internal Medicine
Experience	27 Years
Location	901 El Camino Real, San Bruno, 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:

Jacqueline Miodownik-aisenberg attended and graduated from University Of Miami, Lm Miller School Of Medicine in 1999

NPI Data:

NPI Number: 1740210095
Provider Enumeration Date: 07/03/2006
Last Update Date: 04/15/2026

Medicare PECOS Information:

PECOS PAC ID: 2466416953
Enrollment ID: I20220811002158

Medical Identifiers

Medical identifiers for Jacqueline Miodownik-aisenberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740210095	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	C164852 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital - South San Francisco	South san francisco, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	10968

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. Jacqueline Miodownik-aisenberg allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Jacqueline Miodownik-aisenberg 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
Jacqueline Miodownik-aisenberg, MD 901 El Camino Real, San Bruno, CA 94066-3009 Ph: (650) 742-2100	Jacqueline Miodownik-aisenberg, MD 901 El Camino Real, San Bruno, CA 94066-3009 Ph: (650) 742-2100

Reviews and Comments

Internal Medicine Doctors in San Bruno, CA

Laura Breckenridge, NP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1001 Sneath Ln, Suite 104, San Bruno, CA 94066 Phone: 650-873-4545 Fax: 650-873-4544
Jade Ramos-poblete, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 El Camino Real, San Bruno, CA 94066 Phone: 650-742-2100
Virginia Esther Dzul-church, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1001 Sneath Ln Ste 3003, San Bruno, CA 94066 Phone: 650-615-6000
Henry M. Roque, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1100 Grundy Ln, San Bruno, CA 94066 Phone: 650-227-1150 Fax: 650-653-2510
Mohammad H Ranginwala, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1011 Sneath Ln, San Bruno, CA 94066 Phone: 650-742-2000

Jacqueline Miodownik-aisenberg, MD - Medicare Internal Medicine in San Bruno, CA