Croix Fossum, MD in San Diego, CA

Croix Fossum, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in San Diego, California. His current practice location is 3075 Health Center Dr, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 939-5010.

Croix Fossum is licensed to practice in California (license number A159160) 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 1104351006.

Contact Information

	Croix Fossum, MD
	3075 Health Center Dr, San Diego, CA 92123-2773
	(858) 939-5010
	(858) 939-5021

Map and Direction

Physician's Profile

Full Name	Croix Fossum
Gender	Male
Speciality	Radiology - Radiation Oncology
Location	3075 Health Center Dr, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104351006
Provider Enumeration Date: 04/28/2017
Last Update Date: 04/25/2023

Medicare PECOS Information:

PECOS PAC ID: 0042690406
Enrollment ID: I20220701002784

Medical Identifiers

Medical identifiers for Croix Fossum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104351006	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	A159160 (California)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Croix Fossum allows following entities to bill medicare on his behalf.

Entity Name	X-ray Medical Group Radiation Oncology Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790724565 PECOS PAC ID: 2668443326 Enrollment ID: O20040804001813

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. Croix Fossum 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
Croix Fossum, MD Dept 338 Po Box 509015, San Diego, CA 92150-9015 Ph: () -	Croix Fossum, MD 3075 Health Center Dr, San Diego, CA 92123-2773 Ph: (858) 939-5010

Reviews and Comments

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Croix Fossum, MD - Medicare Radiology in San Diego, CA