Moothedath A Menon, MD in Tustin, CA - Medicare Internal Medicine

Moothedath A Menon, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Tustin, California. He graduated from medical school in 1972 and has 53 years of diverse experience with area of expertise as Internal Medicine. His current practice location is 661 W 1st St Ste G, Tustin, California. You can reach out to his office (for appointments etc.) via phone at (714) 665-9890.

Moothedath A Menon is licensed to practice in California (license number A41105) 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 1336134014.

Contact Information

	Moothedath A Menon, MD
	661 W 1st St Ste G, Tustin, CA 92780-2939
	(714) 665-9890
	(714) 665-9891

Map and Direction

Physician's Profile

Full Name	Moothedath A Menon
Gender	Male
Speciality	Internal Medicine
Experience	53 Years
Location	661 W 1st St Ste G, Tustin, 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:

Moothedath A Menon graduated from medical school in 1972

NPI Data:

NPI Number: 1336134014
Provider Enumeration Date: 09/19/2005
Last Update Date: 10/22/2025

Medicare PECOS Information:

PECOS PAC ID: 7214114800
Enrollment ID: I20111108000177

Medical Identifiers

Medical identifiers for Moothedath A Menon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336134014	NPI	-	NPPES
00A411050	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	A41105 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Mary Medical Center	Apple valley, CA	Hospital
Victor Valley Global Medical Center	Victorville, CA	Hospital
Desert Valley Hospital	Victorville, CA	Hospital

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. Moothedath A Menon allows following entities to bill medicare on his behalf.

Entity Name	Grover Gastro Surgical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740566124 PECOS PAC ID: 7315182847 Enrollment ID: O20130403000510

Entity Name	Families Together Of Orange County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194122457 PECOS PAC ID: 7517268816 Enrollment ID: O20151210000638

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. Moothedath A Menon 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
Moothedath A Menon, MD 661 W 1st St Ste G, Tustin, CA 92780-2939 Ph: (714) 665-9890	Moothedath A Menon, MD 661 W 1st St Ste G, Tustin, CA 92780-2939 Ph: (714) 665-9890

Reviews and Comments

Internal Medicine Doctors in Tustin, CA

Dr. Huong T Duong, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 17400 Irvine Blvd, Suite F, Tustin, CA 92780 Phone: 714-838-5610
Dr. Susan L Ban, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 17400 Irvine Blvd, Suite F, Tustin, CA 92780 Phone: 714-838-5610
Jeremy Lam, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2492 Walnut Ave Ste 100, Tustin, CA 92780 Phone: 714-709-8000 Fax: 714-709-8080
Dr. Thomas C Hwang, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 17400 Irvine Blvd, Suite F, Tustin, CA 92780 Phone: 714-838-5610
Dr. Pin-hung Hsieh, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 13522 Newport Ave Ste 102, Tustin, CA 92780 Phone: 714-573-8200 Fax: 714-573-9401
Madonna A Nicolai, CFNP Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 14351 Myford Rd, Suite B, Tustin, CA 92780 Phone: 714-550-9990 Fax: 714-550-1226
Stela Georgieva Kostova-abadjieva, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891

Moothedath A Menon, MD - Medicare Internal Medicine in Tustin, CA