Dr Jose Mario D Cuyegkeng Fontanilla, MD in Santa Rosa, CA

Dr Jose Mario D Cuyegkeng Fontanilla, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Santa Rosa, California. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Infectious Disease. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 401 Bicentennial Way, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 393-4704.

Dr Jose Mario D Cuyegkeng Fontanilla is licensed to practice in West Virginia (license number 23108) 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 1164528469.

Contact Information

	Dr Jose Mario D Cuyegkeng Fontanilla, MD
	401 Bicentennial Way, Santa Rosa, CA 95403-2149
	(707) 393-4704
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jose Mario D Cuyegkeng Fontanilla
Gender	Male
Speciality	Infectious Disease
Experience	23 Years
Location	401 Bicentennial Way, Santa Rosa, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jose Mario D Cuyegkeng Fontanilla graduated from medical school in 2001

NPI Data:

NPI Number: 1164528469
Provider Enumeration Date: 09/15/2006
Last Update Date: 12/15/2021

Medicare PECOS Information:

PECOS PAC ID: 4688733942
Enrollment ID: I20130328000384

Medical Identifiers

Medical identifiers for Dr Jose Mario D Cuyegkeng Fontanilla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164528469	NPI	-	NPPES
3810013316	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0200X	Internal Medicine - Infectious Disease	23108 (West Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8376

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 Jose Mario D Cuyegkeng Fontanilla allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Jose Mario D Cuyegkeng Fontanilla 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
Dr Jose Mario D Cuyegkeng Fontanilla, MD 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 393-4704	Dr Jose Mario D Cuyegkeng Fontanilla, MD 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 393-4704

Reviews and Comments

Internal Medicine Doctors in Santa Rosa, CA

Rajveer Sangera, DO Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 500 Doyle Park Dr Ste G04, Santa Rosa, CA 95405 Phone: 707-576-7100
Dr. Yulia Rivelis, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3883 Airway Dr, Santa Rosa, CA 95403 Phone: 707-573-5458 Fax: 707-573-5458
Soheila Benrazavi, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 4730 Hoen Ave, Santa Rosa, CA 95405 Phone: 707-528-1616
Suhana Elamsenthil, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000
Jarrod Paul Holmes, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3555 Round Barn Cir, Santa Rosa, CA 95403 Phone: 707-528-1050 Fax: 707-525-3874
Dr. James Andrew Driscoll, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 4001 Split Rail Ct, Santa Rosa, CA 95403 Phone: 512-459-6599
Dominic Joseph Picetti, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000

Dr Jose Mario D Cuyegkeng Fontanilla, MD - Medicare Infectious Disease in Santa Rosa, CA