Dr Elena A Dolgonos, MD - Medicare Family Practice in Encinitas, CA

Dr Elena A Dolgonos, MD is a medicare enrolled "Family Medicine" physician in Encinitas, California. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Scripps Health and her current practice location is 477 N El Camino Real, Encinitas, California. You can reach out to her office (for appointments etc.) via phone at (760) 479-3900.

Dr Elena A Dolgonos is licensed to practice in California (license number A83291) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235153891.

Contact Information

Dr Elena A Dolgonos, MD
477 N El Camino Real,
Encinitas, CA 92024-1328
(760) 479-3900
Not Available

Map and Direction




Physician's Profile

Full NameDr Elena A Dolgonos
GenderFemale
SpecialityFamily Practice
Experience27 Years
Location477 N El Camino Real, Encinitas, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Elena A Dolgonos graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1235153891
  • Provider Enumeration Date: 07/27/2006
  • Last Update Date: 07/19/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4688638463
  • Enrollment ID: I20050208000938

Medical Identifiers

Medical identifiers for Dr Elena A Dolgonos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235153891NPI-NPPES
00A832910MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A83291 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Scripps Memorial Hospital - EncinitasEncinitas, CAHospital
Scripps Memorial Hospital La JollaLa jolla, CAHospital
Scripps Green HospitalLa jolla, 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. Dr Elena A Dolgonos allows following entities to bill medicare on her 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. Dr Elena A Dolgonos 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
Dr Elena A Dolgonos, MD
10790 Rancho Bernardo Rd,
San Diego, CA 92127-5705

Ph: (760) 479-3900
Dr Elena A Dolgonos, MD
477 N El Camino Real,
Encinitas, CA 92024-1328

Ph: (760) 479-3900

Reviews and Comments


Family Medicine Doctors in Encinitas, CA

Dr. Jennifer Marie Hughes Golden, DO
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Practice Location: 1130 2nd St, Encinitas, CA 92024
Phone: 760-736-6767    Fax: 760-753-7259
Ashna Gupta, PA-C
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Practice Location: 1130 2nd St, Encinitas, CA 92024
Phone: 760-736-6767    
Dr. Kathryn Papier Hirst, M.D.
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Practice Location: 561 Saxony Pl Ste 101, Encinitas, CA 92024
Phone: 760-503-4703    
Dr. Nancy Landis Fierro, MD
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Medicare: Medicare Enrolled
Practice Location: 477 N El Camino Real Ste A208, Encinitas, CA 92024
Phone: 760-479-3900    Fax: 760-753-8175
Linda R Olafson, MD
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Medicare: Medicare Enrolled
Practice Location: 317 N El Camino Real, Suite 104, Encinitas, CA 92024
Phone: 760-944-2986    Fax: 760-479-0875
Dr. Michael L. Vanbuskirk, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 326 Santa Fe Dr, Encinitas, CA 92024
Phone: 760-633-7240    Fax: 760-633-6921
Diane Vu, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 477 N El Camino Real, Suite A208, Encinitas, CA 92024
Phone: 760-479-3900    

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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