Sara Elizabeth Kruczek, DO in San Diego, CA

Sara Elizabeth Kruczek, DO is a medicare enrolled "Pediatrics - Child Abuse Pediatrics" physician in San Diego, California. Her current practice location is 3020 Childrens Way # Mc5159, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 966-1700.

Sara Elizabeth Kruczek is licensed to practice in Arkansas (license number E-17710) 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 1376049742.

Contact Information

	Sara Elizabeth Kruczek, DO
	3020 Childrens Way # Mc5159, San Diego, CA 92123-4223
	(858) 966-1700
	(858) 966-8535

Map and Direction

Physician's Profile

Full Name	Sara Elizabeth Kruczek
Gender	Female
Speciality	Pediatrics - Child Abuse Pediatrics
Location	3020 Childrens Way # Mc5159, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376049742
Provider Enumeration Date: 04/03/2018
Last Update Date: 08/02/2024

Medicare PECOS Information:

PECOS PAC ID: 2961750526
Enrollment ID: I20240823002762

Medical Identifiers

Medical identifiers for Sara Elizabeth Kruczek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376049742	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080C0008X	Pediatrics - Child Abuse Pediatrics	E-17710 (Arkansas)	Primary
208000000X	Pediatrics	E-17710 (Arkansas)	Secondary
2080C0008X	Pediatrics - Child Abuse Pediatrics	18975 (California)	Secondary

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. Sara Elizabeth Kruczek allows following entities to bill medicare on her behalf.

Entity Name	University Of Arkansas For Medical Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431

Entity Name	Arkansas Childrens Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598773079 PECOS PAC ID: 2769477744 Enrollment ID: O20040419000796

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. Sara Elizabeth Kruczek 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
Sara Elizabeth Kruczek, DO 1 Childrens Way # 653, Little Rock, AR 72202-3500 Ph: (501) 364-1100	Sara Elizabeth Kruczek, DO 3020 Childrens Way # Mc5159, San Diego, CA 92123-4223 Ph: (858) 966-1700

Reviews and Comments

Pediatrics Doctors in San Diego, CA

Dr. Crystal Nguyen Le, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3020 Children's Way, Mc 5008, San Diego, CA 92123 Phone: 858-966-5818
Dr. Katherine N. Nyman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3010 Childrens Way, San Diego, CA 92123 Phone: 858-966-5818
Dr. Peter Hyun-soo Kim, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8695 Spectrum Center Blvd # 4004, San Diego, CA 92123 Phone: 858-499-4416
Dr. Paula Grayson, Pediatrics Medicare: Medicare Enrolled Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7969
Dr. Adriana Herrera Tremoulet, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3020 Childrens Way, San Diego, CA 92123 Phone: 858-966-7785
Dr. Javier Rodriguez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4060 Fairmount Ave, Pediatrics Department, San Diego, CA 92105 Phone: 619-255-9154 Fax: 619-795-9847
Robert Miller Sheets, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8110 Birmingham Way, San Diego, CA 92123 Phone: 858-966-8082

Sara Elizabeth Kruczek, DO - Medicare Pediatrics in San Diego, CA