Krista Stanton-mouttaki, DO in Fontana, CA - Medicare Physical Medicine & Rehabilitation

Krista Stanton-mouttaki, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Fontana, California. Her current practice location is 9961 Sierra Ave, Fontana, California. You can reach out to her office (for appointments etc.) via phone at (866) 454-3485.

Krista Stanton-mouttaki is licensed to practice in California (license number 16332) 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 1760897995.

Contact Information

	Krista Stanton-mouttaki, DO
	9961 Sierra Ave, Fontana, CA 92335-6720
	(866) 454-3485
	Not Available

Map and Direction

Physician's Profile

Full Name	Krista Stanton-mouttaki
Gender	Female
Speciality	Physical Medicine & Rehabilitation
Location	9961 Sierra Ave, Fontana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760897995
Provider Enumeration Date: 06/26/2014
Last Update Date: 12/21/2021

Medicare PECOS Information:

PECOS PAC ID: 0143521427
Enrollment ID: I20190304002857

Medical Identifiers

Medical identifiers for Krista Stanton-mouttaki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760897995	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	5101021156 (Michigan)	Secondary
208100000X	Physical Medicine & Rehabilitation	16332 (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. Krista Stanton-mouttaki allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Krista Stanton-mouttaki 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
Krista Stanton-mouttaki, DO 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (664) 543-4858	Krista Stanton-mouttaki, DO 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (866) 454-3485

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Fontana, CA

Douglas K. Mack, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Adrianne C. Beck, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Dr. Christine Torralba Diaz, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Kaiser Permanente Department Of Pm&r, Fontana, CA 92335 Phone: 909-558-6202
John Luen Shen, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Gerald R. Goodlow, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Herbert Lee, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Dr. Chakradhar Penta, MD, BS Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Mob 2 - Physical Medicine, Fontana, CA 92335 Phone: 909-427-3945 Fax: 909-427-5282

Krista Stanton-mouttaki, DO - Medicare Physical Medicine & Rehabilitation in Fontana, CA