Dr Victoria Banez Dizon, MD in Elk Grove, CA

Dr Victoria Banez Dizon, MD is a medicare enrolled "Pediatrics" physician in Elk Grove, California. Her current practice location is 10305 Promenade Pkwy, Elk Grove, Elk Grove, California. You can reach out to her office (for appointments etc.) via phone at (916) 544-6600.

Dr Victoria Banez Dizon is licensed to practice in California (license number A102576) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780889360.

Contact Information

	Dr Victoria Banez Dizon, MD
	10305 Promenade Pkwy, Elk Grove, Elk Grove, CA 95757-9400
	(916) 544-6600
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Victoria Banez Dizon
Gender	Female
Speciality	Pediatrics
Location	10305 Promenade Pkwy, Elk Grove, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780889360
Provider Enumeration Date: 06/15/2007
Last Update Date: 12/20/2021

Medicare PECOS Information:

PECOS PAC ID: 1951460302
Enrollment ID: I20081030000381

Medical Identifiers

Medical identifiers for Dr Victoria Banez Dizon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780889360	NPI	-	NPPES
2776657969	Other		MYUTMB 2776657969-COMMERCIAL NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	BP1-0022199 (Texas)	Secondary
208000000X	Pediatrics	A102576 (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. Dr Victoria Banez Dizon allows following entities to bill medicare on her 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 Victoria Banez Dizon 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 Victoria Banez Dizon, MD 10305 Promenade Pkwy, Elk Grove, Elk Grove, CA 95757-9400 Ph: (916) 544-6600	Dr Victoria Banez Dizon, MD 10305 Promenade Pkwy, Elk Grove, Elk Grove, CA 95757-9400 Ph: (916) 544-6600

Reviews and Comments

Pediatrics Doctors in Elk Grove, CA

Karanbir Singh Gill, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8170 Laguna Blvd, Suite 210, Elk Grove, CA 95758 Phone: 916-691-5999
Dr. Scott David Meier, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 10305 Promenade Pkwy, Elk Grove, CA 95757 Phone: 916-544-6688
Dr. Karyn L Macneil, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9281 Office Park Cir, #120, Elk Grove, CA 95758 Phone: 916-691-5999 Fax: 916-691-6717
Dr. Anubha Khanna, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9281 Office Park Circle, Suite 120, Elk Grove, CA 95758 Phone: 916-691-5988
Dr. Ngoc Han D Vu, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9281 Office Park Cir, #120, Elk Grove, CA 95758 Phone: 916-691-5999 Fax: 916-691-6717
Jaclyn Victoria, MSN, APRN, FNP-C Pediatrics Medicare: Medicare Enrolled Practice Location: 9291 Laguna Springs Dr Ste A, Elk Grove, CA 95758 Phone: 916-714-9777 Fax: 916-714-9713
Dr. Douglas Charles Peterson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9260 Laguna Springs Dr, Suite E2-308, Elk Grove, CA 95758 Phone: 916-691-9574

Dr Victoria Banez Dizon, MD - Medicare Pediatrics in Elk Grove, CA