Dr Walter David Vazquez, MD in San Diego, CA

Dr Walter David Vazquez, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in San Diego, California. His current practice location is 34800 Bob Wilson Dr, Pediatric Surgery Clinic, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 532-5953.

Dr Walter David Vazquez is licensed to practice in California (license number G83488) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619949476.

Contact Information

	Dr Walter David Vazquez, MD
	34800 Bob Wilson Dr, Pediatric Surgery Clinic, San Diego, CA 92134-1098
	(619) 532-5953
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Walter David Vazquez
Gender	Male
Speciality	Surgery - Pediatric Surgery
Location	34800 Bob Wilson Dr, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619949476
Provider Enumeration Date: 02/06/2006
Last Update Date: 11/29/2021

Medicare PECOS Information:

PECOS PAC ID: 7618033945
Enrollment ID: I20090311000632

Medical Identifiers

Medical identifiers for Dr Walter David Vazquez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619949476	NPI	-	NPPES
00G834880	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0120X	Surgery - Pediatric Surgery	G83488 (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 Walter David Vazquez allows following entities to bill medicare on his 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 Walter David Vazquez 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 Walter David Vazquez, MD 877 Island Ave, #416, San Diego, CA 92101-7116 Ph: (619) 795-0988	Dr Walter David Vazquez, MD 34800 Bob Wilson Dr, Pediatric Surgery Clinic, San Diego, CA 92134-1098 Ph: (619) 532-5953

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 Walter David Vazquez, MD - Medicare Surgery in San Diego, CA