Timothy S Kristedja, MD in Santa Monica, CA - Medicare Hematology/oncology

Timothy S Kristedja, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Santa Monica, California. He graduated from medical school in 2006 and has 19 years of diverse experience with area of expertise as Hematology/oncology. He is a member of the group practice Providence Saint Johns Medical Foundation and his current practice location is 2001 Santa Monica Blvd Ste 560w, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at (310) 453-5654.

Timothy S Kristedja is licensed to practice in California (license number A108522) 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 1881897494.

Contact Information

	Timothy S Kristedja, MD
	2001 Santa Monica Blvd Ste 560w, Santa Monica, CA 90404-2182
	(310) 453-5654
	(310) 453-6885

Map and Direction

Physician's Profile

Full Name	Timothy S Kristedja
Gender	Male
Speciality	Hematology/oncology
Experience	19 Years
Location	2001 Santa Monica Blvd Ste 560w, Santa Monica, 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:

Timothy S Kristedja graduated from medical school in 2006

NPI Data:

NPI Number: 1881897494
Provider Enumeration Date: 06/09/2007
Last Update Date: 01/22/2024

Medicare PECOS Information:

PECOS PAC ID: 0840447942
Enrollment ID: I20120824000220

Medical Identifiers

Medical identifiers for Timothy S Kristedja such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881897494	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0003X	Internal Medicine - Hematology & Oncology	A108522 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Saint John's Health Center	Santa monica, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Saint Johns Medical Foundation	0840548624	256

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. Timothy S Kristedja allows following entities to bill medicare on his behalf.

Entity Name	County Of Los Angeles
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218

Entity Name	Providence Saint Johns Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770093734 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904

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. Timothy S Kristedja 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
Timothy S Kristedja, MD 2477 Walnut Ave, Venice, CA 90291-5018 Ph: (626) 367-2824	Timothy S Kristedja, MD 2001 Santa Monica Blvd Ste 560w, Santa Monica, CA 90404-2182 Ph: (310) 453-5654

Reviews and Comments

Internal Medicine Doctors in Santa Monica, CA

Irawan Susanto, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1223 16th St, Suite 3400, Santa Monica, CA 90404 Phone: 310-449-0939 Fax: 424-259-7790
Louis Ravitz, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 2336 Santa Monica Blvd, Suite 207, Santa Monica, CA 90404 Phone: 310-828-9311 Fax: 310-453-8533
Janet Winikoff, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 2001 Santa Monica Blvd Ste 860, Santa Monica, CA 90404 Phone: 310-828-3209 Fax: 310-828-5165
Dr. Sean Dooley, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 323-829-8745
Lorraine Anderson, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1245 16th St Ste 303, Santa Monica, CA 90404 Phone: 310-481-4646 Fax: 310-899-7599
Vivek Dilipkumar Shah, Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 2001 Santa Monica Blvd Ste 560w, Santa Monica, CA 90404 Phone: 310-453-5654 Fax: 310-453-6885
Dr. Colleen Lucy Channick, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1223 16th St Ste 3400, Santa Monica, CA 90404 Phone: 310-449-0939

Timothy S Kristedja, MD - Medicare Hematology/oncology in Santa Monica, CA