Dr Kelley Deborah Hodgkiss-harlow, MD in San Diego, CA

Dr Kelley Deborah Hodgkiss-harlow, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in San Diego, California. She went to University Of California, San Diego School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Vascular Surgery. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 4647 Zion Ave, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 528-5512.

Dr Kelley Deborah Hodgkiss-harlow is licensed to practice in California (license number A93677) 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 1164684056.

Contact Information

	Dr Kelley Deborah Hodgkiss-harlow, MD
	4647 Zion Ave, San Diego, CA 92120-2507
	(619) 528-5512
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kelley Deborah Hodgkiss-harlow
Gender	Female
Speciality	Vascular Surgery
Experience	20 Years
Location	4647 Zion Ave, San Diego, California
Accepts Medicare Assignments	Yes. 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 Kelley Deborah Hodgkiss-harlow attended and graduated from University Of California, San Diego School Of Medicine in 2004

NPI Data:

NPI Number: 1164684056
Provider Enumeration Date: 07/01/2008
Last Update Date: 12/03/2021

Medicare PECOS Information:

PECOS PAC ID: 3274704234
Enrollment ID: I20110922000592

Medical Identifiers

Medical identifiers for Dr Kelley Deborah Hodgkiss-harlow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164684056	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	A93677 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital - Zion	San diego, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

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 Kelley Deborah Hodgkiss-harlow allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Kelley Deborah Hodgkiss-harlow 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 Kelley Deborah Hodgkiss-harlow, MD 4647 Zion Ave, San Diego, CA 92120-2507 Ph: (619) 528-5512	Dr Kelley Deborah Hodgkiss-harlow, MD 4647 Zion Ave, San Diego, CA 92120-2507 Ph: (619) 528-5512

Reviews and Comments

Surgery Doctors in San Diego, CA

Dr. Samuel R Obiekwe, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 113 W G St # 315, San Diego, CA 92101 Phone: 909-816-1032
Dr. Ahmed Sirageldin Suliman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr # 8890, San Diego, CA 92103 Phone: 619-294-3746
Mathias John Kill, MD Surgery Medicare: Medicare Enrolled Practice Location: 34730 Bob Wilson Dr, General Surgery Department, San Diego, CA 92134 Phone: 619-532-7575 Fax: 619-532-7673
Scott E. Greenway, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000
Dr. Kristian L. Brown, M.D., PHD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7910 Frost St, Suite 250, San Diego, CA 92123 Phone: 858-637-4800 Fax: 858-637-4801
Dr. Robert J Manly, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 8010 Frost St, San Diego, CA 92123 Phone: 858-939-8350 Fax: 858-939-8360
Dr. Michael Bouvet, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, Ucsd Medical Center, San Diego, CA 92103 Phone: 858-822-6191 Fax: 858-822-6192

Dr Kelley Deborah Hodgkiss-harlow, MD - Medicare Vascular Surgery in San Diego, CA