Dr Ivonne Elizabeth De La Rosa, MD in San Diego, CA

Dr Ivonne Elizabeth De La Rosa, MD is a medicare enrolled "Pediatrics" physician in San Diego, California. Her current practice location is 9400 Ruffin Ct Ste B, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 874-1033.

Dr Ivonne Elizabeth De La Rosa is licensed to practice in California (license number A49734) 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 1174695795.

Contact Information

	Dr Ivonne Elizabeth De La Rosa, MD
	9400 Ruffin Ct Ste B, San Diego, CA 92123-5399
	(858) 874-1033
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ivonne Elizabeth De La Rosa
Gender	Female
Speciality	Pediatrics
Location	9400 Ruffin Ct Ste B, 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: 1174695795
Provider Enumeration Date: 11/15/2006
Last Update Date: 03/01/2022

Medicare PECOS Information:

PECOS PAC ID: 9638343783
Enrollment ID: I20211109003015

Medical Identifiers

Medical identifiers for Dr Ivonne Elizabeth De La Rosa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174695795	NPI	-	NPPES
00A497340	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A49734 (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 Ivonne Elizabeth De La Rosa allows following entities to bill medicare on her behalf.

Entity Name	Valley Childrens Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437555265 PECOS PAC ID: 9032439336 Enrollment ID: O20150528001593

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 Ivonne Elizabeth De La Rosa 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 Ivonne Elizabeth De La Rosa, MD 3020 Childrens Way # Mc5003, San Diego, CA 92123-4223 Ph: (858) 309-6300	Dr Ivonne Elizabeth De La Rosa, MD 9400 Ruffin Ct Ste B, San Diego, CA 92123-5399 Ph: (858) 874-1033

Reviews and Comments

Pediatrics Doctors in San Diego, CA

Dr. Crystal Nguyen Le, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3020 Children's Way, Mc 5008, San Diego, CA 92123 Phone: 858-966-5818
Dr. Katherine N. Nyman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3010 Childrens Way, San Diego, CA 92123 Phone: 858-966-5818
Dr. Peter Hyun-soo Kim, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8695 Spectrum Center Blvd # 4004, San Diego, CA 92123 Phone: 858-499-4416
Dr. Paula Grayson, Pediatrics Medicare: Medicare Enrolled Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7969
Dr. Adriana Herrera Tremoulet, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3020 Childrens Way, San Diego, CA 92123 Phone: 858-966-7785
Dr. Javier Rodriguez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4060 Fairmount Ave, Pediatrics Department, San Diego, CA 92105 Phone: 619-255-9154 Fax: 619-795-9847
Robert Miller Sheets, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8110 Birmingham Way, San Diego, CA 92123 Phone: 858-966-8082

Dr Ivonne Elizabeth De La Rosa, MD - Medicare Pediatrics in San Diego, CA