Douglas K Fenton, MD - Medicare Obstetrics/gynecology in Encinitas, CA

Douglas K Fenton, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Encinitas, California. He went to University Of Colorado School Of Medicine, Denver and graduated in 1982 and has 42 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Scripps Health and his current practice location is 332 Santa Fe Dr, Encinitas, California. You can reach out to his office (for appointments etc.) via phone at (760) 901-5155.

Douglas K Fenton is licensed to practice in California (license number G50262) 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 1063402709.

Contact Information

Douglas K Fenton, MD
332 Santa Fe Dr,
Encinitas, CA 92024-5143
(760) 901-5155
Not Available

Map and Direction




Physician's Profile

Full NameDouglas K Fenton
GenderMale
SpecialityObstetrics/gynecology
Experience42 Years
Location332 Santa Fe Dr, Encinitas, 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:
  • Douglas K Fenton attended and graduated from University Of Colorado School Of Medicine, Denver in 1982
  NPI Data:
  • NPI Number: 1063402709
  • Provider Enumeration Date: 10/25/2005
  • Last Update Date: 03/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1052590098
  • Enrollment ID: I20110124000755

Medical Identifiers

Medical identifiers for Douglas K Fenton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063402709NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology G50262 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Scripps Memorial Hospital - EncinitasEncinitas, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Scripps Health92340338531365

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. Douglas K Fenton allows following entities to bill medicare on his behalf.
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. Douglas K Fenton 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
Douglas K Fenton, MD
10790 Rancho Bernardo Rd,
San Diego, CA 92127-5705

Ph: (760) 901-5155
Douglas K Fenton, MD
332 Santa Fe Dr,
Encinitas, CA 92024-5143

Ph: (760) 901-5155

Reviews and Comments


Obstetrics & Gynecology Doctors in Encinitas, CA

John Bahram Seradj, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 477 N El Camino Real, Suite A300, Encinitas, CA 92024
Phone: 760-942-6120    Fax: 760-942-8187
Dr. Einat R. Duhamel, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 326 Santa Fe Dr, Encinitas, CA 92024
Phone: 760-633-7245    Fax: 760-633-7093
Dr. Dina Fainman, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 310 Santa Fe Dr, Suite 204, Encinitas, CA 92024
Phone: 760-633-7245    Fax: 760-633-7093
Dr. Lily Jenny Tsai, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 310 Santa Fe Dr, Encinitas, CA 92024
Phone: 760-633-7245    
Nikolas George Capetanakis, D.O.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 535 Encinitas Blvd, Suite 120, Encinitas, CA 92024
Phone: 760-634-2814    Fax: 760-634-6785
Dr. Sieu P Truong, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 477 N El Camino Real, Encinitas, CA 92024
Phone: 760-635-3777    

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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