Kelly Michelle Chacon, MD in La Jolla, CA - Medicare Obstetrics & Gynecology

Kelly Michelle Chacon, MD is a medicare enrolled "Obstetrics & Gynecology" physician in La Jolla, California. Her current practice location is 9300 Campus Point Dr, La Jolla, California. You can reach out to her office (for appointments etc.) via phone at (800) 926-8273.

Kelly Michelle Chacon is licensed to practice in California (license number A186207) 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 1336608314.

Contact Information

	Kelly Michelle Chacon, MD
	9300 Campus Point Dr, La Jolla, CA 92037-1300
	(800) 926-8273
	(888) 539-8781

Map and Direction

Physician's Profile

Full Name	Kelly Michelle Chacon
Gender	Female
Speciality	Obstetrics & Gynecology
Location	9300 Campus Point Dr, La Jolla, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336608314
Provider Enumeration Date: 03/18/2019
Last Update Date: 11/13/2025

Medicare PECOS Information:

PECOS PAC ID: 9032577374
Enrollment ID: I20230620001072

Medical Identifiers

Medical identifiers for Kelly Michelle Chacon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336608314	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	A186207 (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. Kelly Michelle Chacon allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174626618 PECOS PAC ID: 3577476761 Enrollment ID: O20031209001111

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. Kelly Michelle Chacon 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
Kelly Michelle Chacon, MD File 57326, Los Angeles, CA 90074-7326 Ph: () -	Kelly Michelle Chacon, MD 9300 Campus Point Dr, La Jolla, CA 92037-1300 Ph: (800) 926-8273

Reviews and Comments

Obstetrics & Gynecology Doctors in La Jolla, CA

Erin Andrea Gross, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9350 Campus Point Dr, La Jolla, CA 92037 Phone: 800-926-8273
Dr. Douglas Andrew Woelkers, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9350 Campus Point Dr, La Jolla, CA 92037 Phone: 800-926-8273
Priyanka Kadam Halani, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9898 Genesee Ave, La Jolla, CA 92037 Phone: 858-824-4100
Renee Marleen Nelson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9850 Genesee Ave, #60, La Jolla, CA 92037 Phone: 858-453-0753 Fax: 858-642-4270
Dr. Kelly Regina Culwell, M.D., MPH Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9300 Campus Point Dr, La Jolla, CA 92037 Phone: 800-926-8273 Fax: 888-539-8781
Tra V Pham, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9333 Genesee Ave, La Jolla, CA 92037 Phone: 858-882-8350
Isabel Katlaps, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 9444 Medical Center Dr, La Jolla, CA 92037 Phone: 858-249-1206

Kelly Michelle Chacon, MD - Medicare Obstetrics & Gynecology in La Jolla, CA