Marisa Deptala, FNP in Chula Vista, CA - Medicare Nurse Practitioner

Marisa Deptala, FNP is a medicare enrolled "Nurse Practitioner - Family" in Chula Vista, California. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Jean Rizkallah, M.d., Inc and her current practice location is 450 4th Ave Ste 408, Chula Vista, California. You can reach out to her office (for appointments etc.) via phone at (619) 691-1990.

Marisa Deptala is licensed to practice in California (license number 95005347) 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 1083166615.

Contact Information

	Marisa Deptala, FNP
	450 4th Ave Ste 408, Chula Vista, CA 91910-4430
	(619) 691-1990
	Not Available

Map and Direction

Provider's Profile

Full Name	Marisa Deptala
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	450 4th Ave Ste 408, Chula Vista, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Marisa Deptala graduated from nursing school in 2016

NPI Data:

NPI Number: 1083166615
Provider Enumeration Date: 10/31/2016
Last Update Date: 04/13/2018

Medicare PECOS Information:

PECOS PAC ID: 6103180799
Enrollment ID: I20180507002811

Medical Identifiers

Medical identifiers for Marisa Deptala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083166615	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95005347 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jean Rizkallah, M.d., Inc	9335272830	4

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. Marisa Deptala allows following entities to bill medicare on her behalf.

Entity Name	Jean Rizkallah, M.d., Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760702237 PECOS PAC ID: 9335272830 Enrollment ID: O20100804000963

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. Marisa Deptala 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
Marisa Deptala, FNP 450 Fourth Ave Ste 408, Chula Vista, CA 91910-4430 Ph: () -	Marisa Deptala, FNP 450 4th Ave Ste 408, Chula Vista, CA 91910-4430 Ph: (619) 691-1990

Reviews and Comments

Nurse Practitioner Nurses in Chula Vista, CA

Linda Helen Marshall, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 751 Medical Center Ct, Chula Vista, CA 91911 Phone: 619-502-5946
Stephanie Reittinger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 865 3rd Ave Ste 101, Chula Vista, CA 91911 Phone: 619-426-7910 Fax: 619-426-2337
Allison Marie Davies-uppal, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2360 Corte Pescado, #88, Chula Vista, CA 91914 Phone: 858-335-0682
Sarah Ju Young Keum, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450 4th Ave Ste 311, Chula Vista, CA 91910 Phone: 619-371-9156
Genevieve Della Rosa Deutsch, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 765 Medical Center Ct Ste 209, Chula Vista, CA 91911 Phone: 619-427-8892 Fax: 619-422-7660
Charles Brown, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 751 Medical Center Ct, Chula Vista, CA 91911 Phone: 760-201-6752
Cody James Nugent, PSYCHIATRIC NP. DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 709 3rd Ave, Chula Vista, CA 91910 Phone: 619-585-3000 Fax: 619-585-3002

Marisa Deptala, FNP - Medicare Nurse Practitioner in Chula Vista, CA