Justin D'avanzo, MD in San Diego, CA - Medicare Emergency Medicine

Justin D'avanzo, MD is a medicare enrolled "Emergency Medicine" physician in San Diego, California. He went to Tufts University School Of Medicine and graduated in 2020 and has 6 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Sierra Estrellas Emergency Physicians Llc and his current practice location is 4647 Zion Ave Ste 1116, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 528-5164.

Justin D'avanzo is licensed to practice in Arizona (license number 69521) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1699301630.

Contact Information

	Justin D'avanzo, MD
	4647 Zion Ave Ste 1116, San Diego, CA 92120-2507
	(619) 528-5164
	Not Available

Map and Direction

Physician's Profile

Full Name	Justin D'avanzo
Gender	Male
Speciality	Emergency Medicine
Experience	6 Years
Location	4647 Zion Ave Ste 1116, San Diego, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Justin D'avanzo attended and graduated from Tufts University School Of Medicine in 2020

NPI Data:

NPI Number: 1699301630
Provider Enumeration Date: 03/22/2020
Last Update Date: 04/01/2024

Medicare PECOS Information:

PECOS PAC ID: 1759776461
Enrollment ID: I20230811001991

Medical Identifiers

Medical identifiers for Justin D'avanzo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699301630	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	177986 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207P00000X	Emergency Medicine	69521 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Yuma Regional Medical Center	Yuma, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sierra Estrellas Emergency Physicians Llc	5193002954	35

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. Justin D'avanzo allows following entities to bill medicare on his behalf.

Entity Name	Sierra Estrellas Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578001319 PECOS PAC ID: 5193002954 Enrollment ID: O20170503001852

Entity Name	Northwest Hbp Medical Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407353006 PECOS PAC ID: 8921356536 Enrollment ID: O20180730001756

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. Justin D'avanzo 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
Justin D'avanzo, MD 4647 Zion Ave Ste 1116, San Diego, CA 92120-2507 Ph: (619) 528-5164	Justin D'avanzo, MD 4647 Zion Ave Ste 1116, San Diego, CA 92120-2507 Ph: (619) 528-5164

Reviews and Comments

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Justin D'avanzo, MD - Medicare Emergency Medicine in San Diego, CA