Elaheh Etedali, DO in Carlsbad, CA - Medicare Family Practice

Elaheh Etedali, DO is a medicare enrolled "Family Medicine" physician in Carlsbad, California. She went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 1994 and has 30 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Carlsbad Village Family Practice Medical Associates Inc and her current practice location is 2801 Jefferson St, Carlsbad, California. You can reach out to her office (for appointments etc.) via phone at (760) 729-4952.

Elaheh Etedali is licensed to practice in California (license number 20A6701) 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 1972535581.

Contact Information

	Elaheh Etedali, DO
	2801 Jefferson St, Carlsbad, CA 92008-1720
	(760) 729-4952
	(760) 729-2738

Map and Direction

Physician's Profile

Full Name	Elaheh Etedali
Gender	Female
Speciality	Family Practice
Experience	30 Years
Location	2801 Jefferson St, Carlsbad, 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:

Elaheh Etedali attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 1994

NPI Data:

NPI Number: 1972535581
Provider Enumeration Date: 07/06/2006
Last Update Date: 11/13/2013

Medicare PECOS Information:

PECOS PAC ID: 8426023961
Enrollment ID: I20040830000150

Medical Identifiers

Medical identifiers for Elaheh Etedali such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972535581	NPI	-	NPPES
020A67010	Other	CA	BLUE CROSS
00AX67010	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	20A6701 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tri-city Medical Center	Oceanside, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carlsbad Village Family Practice Medical Associates Inc	4981695772	2

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. Elaheh Etedali allows following entities to bill medicare on her behalf.

Entity Name	Carlsbad Village Family Practice Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972547644 PECOS PAC ID: 4981695772 Enrollment ID: O20040520000764

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. Elaheh Etedali 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
Elaheh Etedali, DO 2801 Jefferson St, Carlsbad, CA 92008-1720 Ph: (760) 729-4952	Elaheh Etedali, DO 2801 Jefferson St, Carlsbad, CA 92008-1720 Ph: (760) 729-4952

Reviews and Comments

Family Medicine Doctors in Carlsbad, CA

Gary P Korff, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2562 State St Ste D, Carlsbad, CA 92008 Phone: 760-729-7186 Fax: 760-729-2753
Kinjal Sandip Madhav, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6010 Hidden Valley Rd Ste 200, Carlsbad, CA 92011 Phone: 760-631-3000 Fax: 760-631-3016
Dr. Russell Ronald Zane, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2176 Salk Ave, Carlsbad, CA 92008 Phone: 760-827-7210 Fax: 760-827-7215
Philip Richard Goodman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7535 Cadencia St, Carlsbad, CA 92009 Phone: 760-944-7741
Dr. Theresa Aquino Bartolome, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2176 Salk Ave, Carlsbad, CA 92008 Phone: 760-827-7200 Fax: 760-827-7225
Juergen Gernot Winkler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6120 Paseo Del Norte, Suite L-2, Carlsbad, CA 92011 Phone: 760-585-4616 Fax: 760-259-1380
Dr. Alisa M L Hideg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6860 Avenida Encinas, Carlsbad, CA 92011 Phone: 760-931-6454

Elaheh Etedali, DO - Medicare Family Practice in Carlsbad, CA