Marcella Raquel Oden, PT, DPT, DACM, LAC is a medicare enrolled "Acupuncturist" provider in San Diego, California. Her current practice location is
4415 Genesee Ave, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(619) 800-1974.
Marcella Raquel Oden is licensed to practice in California (license number 19467) 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 1316929060.
Healthcare Provider's Profile
| Full Name | Marcella Raquel Oden |
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| Gender | Female |
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| Speciality | Acupuncturist |
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| Location | 4415 Genesee Ave, San Diego, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316929060
- Provider Enumeration Date: 11/17/2005
- Last Update Date: 01/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870905342
- Enrollment ID: I20201208001017
Medical Identifiers
Medical identifiers for Marcella Raquel Oden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316929060 | NPI | - | NPPES |
| 19467 | Other | CA | ACUPUNCTURE LICENSE |
| AP4491 | Other | FL | ACUPUNCTURE LICENSE |
| PT27789 | Other | CA | PHYSICAL THERAPY LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2251X0800X | Physical Therapist - Orthopedic | 27789 (California) | Secondary |
| 171100000X | Acupuncturist | 19467 (California) | Primary |
| 171000000X | Military Health Care Provider | PT27789 (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. Marcella Raquel Oden allows following entities to bill medicare on her behalf.
| Provider Name | California Luna Care Physical Therapy Pc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1689162166
PECOS PAC ID: 9638427834
Enrollment ID: O20180803002123 |
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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. Marcella Raquel Oden 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 |
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Marcella Raquel Oden, PT, DPT, DACM, LAC
315 B Ave,
Coronado, CA 92118-1925
Ph: (808) 783-4330 | Marcella Raquel Oden, PT, DPT, DACM, LAC
4415 Genesee Ave,
San Diego, CA 92117-3005
Ph: (619) 800-1974 |
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