Dereck J De Leon, MD in San Diego, CA - Medicare Family Medicine

Dereck J De Leon, MD is a medicare enrolled "Family Medicine" physician in San Diego, California. His current practice location is 4647 Zion Ave, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 528-5000.

Dereck J De Leon is licensed to practice in California (license number G69380) 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 1255489100.

Contact Information

	Dereck J De Leon, MD
	4647 Zion Ave, San Diego, CA 92120-2507
	(619) 528-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dereck J De Leon
Gender	Male
Speciality	Family Medicine
Location	4647 Zion Ave, 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: 1255489100
Provider Enumeration Date: 01/08/2007
Last Update Date: 09/23/2008

Medicare PECOS Information:

PECOS PAC ID: 7810176229
Enrollment ID: I20190124000817

Medical Identifiers

Medical identifiers for Dereck J De Leon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255489100	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	G69380 (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. Dereck J De Leon allows following entities to bill medicare on his behalf.

Entity Name	The Moses H Cone Memorial Hospital Operating Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356372064 PECOS PAC ID: 6204744600 Enrollment ID: O20031124000541

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. Dereck J De Leon 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
Dereck J De Leon, MD 4647 Zion Ave, San Diego, CA 92120-2507 Ph: (619) 528-5000	Dereck J De Leon, MD 4647 Zion Ave, San Diego, CA 92120-2507 Ph: (619) 528-5000

Reviews and Comments

Family Medicine Doctors in San Diego, CA

Dr. Kyle P. Edmonds, M.D., FAAHPM Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr # 8216, San Diego, CA 92103 Phone: 858-534-6091 Fax: 619-543-3947
Jessica C. Cook, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 4291 Robbins St, San Diego, CA 92122 Phone: 858-531-5692
Robina Ahmad, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6973 Linda Vista Rd, San Diego, CA 92111 Phone: 858-279-9676
Dr. Anna M Mercer, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273
Bashir A. Rawi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000
Martin P. Murillo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000
Erwin Guzman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000

Dereck J De Leon, MD - Medicare Family Medicine in San Diego, CA