Dana Ashli Derissi, PA-C - Medicare Physician Assistant in La Mesa, CA

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Dana Ashli Derissi, PA-C is a medicare enrolled "Physician Assistant - Medical" in La Mesa, California. She went to Stanford University School Of Medicine and graduated in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Family Health Centers Of San Diego Inc and her current practice location is 5555 Grossmont Center Dr, La Mesa, California. You can reach out to her office (for appointments etc.) via phone at (619) 740-4071.

Dana Ashli Derissi is licensed to practice in California (license number PA51577) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063829505.

Contact Information

Dana Ashli Derissi, PA-C
5555 Grossmont Center Dr,
La Mesa, CA 91942-3019
(619) 740-4071
Not Available

Map and Direction




Provider's Profile

Full NameDana Ashli Derissi
GenderFemale
SpecialityPhysician Assistant
Experience12 Years
Location5555 Grossmont Center Dr, La Mesa, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dana Ashli Derissi attended and graduated from Stanford University School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1063829505
  • Provider Enumeration Date: 07/16/2014
  • Last Update Date: 09/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3870713811
  • Enrollment ID: I20140925001699

Medical Identifiers

Medical identifiers for Dana Ashli Derissi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063829505NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA51577 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grossmont HospitalLa mesa, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Family Health Centers Of San Diego Inc3476446378299

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. Dana Ashli Derissi allows following entities to bill medicare on her behalf.
Entity NameFamily Health Centers of San Diego Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447281936
PECOS PAC ID: 3476446378
Enrollment ID: O20040204000923
Entity NameLa Jolla Emergency Specialists
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710315353
PECOS PAC ID: 1153552039
Enrollment ID: O20140317001669
Entity NameClinic Services of California Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578958450
PECOS PAC ID: 7810209715
Enrollment ID: O20150707001394
Entity NameTeam Physicians of Northern California Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649692716
PECOS PAC ID: 7113215146
Enrollment ID: O20161006002407
Entity NameLa Jolla Observation Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780122986
PECOS PAC ID: 2365727492
Enrollment ID: O20170331001702
Entity NameMint Health Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316543119
PECOS PAC ID: 8628486131
Enrollment ID: O20210422001607

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. Dana Ashli Derissi 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 AddressPractice Location Address
Dana Ashli Derissi, PA-C
5555 Grossmont Center Dr,
La Mesa, CA 91942-3019

Ph: (619) 740-3838		Dana Ashli Derissi, PA-C
5555 Grossmont Center Dr,
La Mesa, CA 91942-3019

Ph: (619) 740-4071

Reviews and Comments


Physician Assistant Nurses in La Mesa, CA

Mrs. Amy Elizabeth Vu, P.A.-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942
Phone: 619-740-6000    
Julia A. Caputo, P.A.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942
Phone: 858-499-2706    
Jasveen Dhillon, MS, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4561 Dickey Dr, La Mesa, CA 91941
Phone: 619-328-3025    
Joelle Nicole Negley, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 8851 Center Dr, Suite 505, La Mesa, CA 91942
Phone: 619-461-3880    Fax: 619-461-3895
Michael Otte, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 6136 Lake Murray Blvd, La Mesa, CA 91942
Phone: 714-389-5700    
Brittany Slaughter,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942
Phone: 619-740-4401    
Kira Ann Tellache, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 8860 Center Dr Ste 300, La Mesa, CA 91942
Phone: 619-462-1670    Fax: 619-462-3209

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.