Dale A Kooistra, MD, PHD - Medicare Dermatology in Poway, CA

Dale A Kooistra, MD, PHD is a medicare enrolled "Dermatology" physician in Poway, California. He went to Stanford University School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Rishu Gupta Md Inc and his current practice location is 15525 Pomerado Rd, Suite D2, Poway, California. You can reach out to his office (for appointments etc.) via phone at (858) 675-8001.

Dale A Kooistra is licensed to practice in California (license number G55734) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1831182971.

Contact Information

Dale A Kooistra, MD, PHD
15525 Pomerado Rd, Suite D2,
Poway, CA 92064-2435
(858) 675-8001
(858) 487-1337

Map and Direction




Physician's Profile

Full NameDale A Kooistra
GenderMale
SpecialityDermatology
Experience40 Years
Location15525 Pomerado Rd, Poway, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dale A Kooistra attended and graduated from Stanford University School Of Medicine in 1984
  NPI Data:
  • NPI Number: 1831182971
  • Provider Enumeration Date: 08/24/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1658565015
  • Enrollment ID: I20101029000319

Medical Identifiers

Medical identifiers for Dale A Kooistra such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831182971NPI-NPPES
00G557340MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology G55734 (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. Dale A Kooistra allows following entities to bill medicare on his behalf.
Entity NameRishu Gupta Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902519986
PECOS PAC ID: 8628424413
Enrollment ID: O20231031001706

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. Dale A Kooistra 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
Dale A Kooistra, MD, PHD
15525 Pomerado Rd, Suite D2,
Poway, CA 92064-2435

Ph: (858) 675-8001
Dale A Kooistra, MD, PHD
15525 Pomerado Rd, Suite D2,
Poway, CA 92064-2435

Ph: (858) 675-8001

Reviews and Comments


Dermatology Doctors in Poway, CA

Ernest Stanley Rodier, Frcpc,inc, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 15725 Pomerado Road, Suite 108, Poway, CA 92064
Phone: 858-485-8111    Fax: 858-485-9926
Dr. Anne Kathleen Truitt, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 15611 Pomerado Rd Ste 400, Poway, CA 92064
Phone: 858-675-3140    Fax: 858-385-7855
Dr. Paul Chun-pu Jou, M.D., M.S.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 15611 Pomerado Rd Ste 400, Poway, CA 92064
Phone: 858-657-3100    
Ruth A Larson, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 15525 Pomerado Rd, Suite A2, Poway, CA 92064
Phone: 858-451-3311    Fax: 858-451-1142
Victoria Regina Barrio, M.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 15725 Pomerado Rd Ste 102, Poway, CA 92064
Phone: 619-267-8303    Fax: 619-267-4835
Naomi Travers, NP
Dermatology
Medicare: Medicare Enrolled
Practice Location: 15725 Poway Road, Suite 102, Poway, CA 92064
Phone: 858-397-5755    Fax: 858-454-5724

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.