Anthony Michael Proia, MD - Medicare Pediatrics in San Diego, CA

Anthony Michael Proia, MD is a medicare enrolled "Pediatrics" physician in San Diego, California. His current practice location is 4650 Palm Ave, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (833) 574-2273.

Anthony Michael Proia is licensed to practice in California (license number A164769) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376049411.

Contact Information

Anthony Michael Proia, MD
4650 Palm Ave,
San Diego, CA 92154-8404
(833) 574-2273
Not Available

Map and Direction




Physician's Profile

Full NameAnthony Michael Proia
GenderMale
SpecialityPediatrics
Location4650 Palm Ave, San Diego, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376049411
  • Provider Enumeration Date: 04/05/2018
  • Last Update Date: 08/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1456751569
  • Enrollment ID: I20210610003360

Medical Identifiers

Medical identifiers for Anthony Michael Proia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376049411NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics A164769 (California)Primary

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. Anthony Michael Proia allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NameSharp Rees-stealy Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285616177
PECOS PAC ID: 8628972759
Enrollment ID: O20031120000996
Entity NameScripps Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275899072
PECOS PAC ID: 9234033853
Enrollment ID: O20031124000822

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. Anthony Michael Proia 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
Anthony Michael Proia, MD
1267 Greenlake Dr,
Cardiff By The Sea, CA 92007-1020

Ph: (619) 457-3010
Anthony Michael Proia, MD
4650 Palm Ave,
San Diego, CA 92154-8404

Ph: (833) 574-2273

Reviews and Comments


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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).

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