Jelissa Ashley Mooyin, in Santa Monica, CA

Jelissa Ashley Mooyin, is a medicare enrolled "Hospitalist" physician in Santa Monica, California. Her current practice location is 1250 16th St, Santa Monica, California. You can reach out to her office (for appointments etc.) via phone at (310) 319-4698.

Jelissa Ashley Mooyin is licensed to practice in California (license number A180627) 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 1174188593.

Contact Information

	Jelissa Ashley Mooyin,
	1250 16th St, Santa Monica, CA 90404-1249
	(310) 319-4698
	(310) 319-4908

Map and Direction

Physician's Profile

Full Name	Jelissa Ashley Mooyin
Gender	Female
Speciality	Hospitalist
Location	1250 16th St, Santa Monica, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174188593
Provider Enumeration Date: 05/01/2019
Last Update Date: 04/22/2024

Medicare PECOS Information:

PECOS PAC ID: 9931581881
Enrollment ID: I20220809001902

Medical Identifiers

Medical identifiers for Jelissa Ashley Mooyin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174188593	NPI	-	NPPES
NA	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	A180627 (California)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Jelissa Ashley Mooyin allows following entities to bill medicare on her behalf.

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439

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. Jelissa Ashley Mooyin 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
Jelissa Ashley Mooyin, 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () -	Jelissa Ashley Mooyin, 1250 16th St, Santa Monica, CA 90404-1249 Ph: (310) 319-4698

Reviews and Comments

Hospitalist Doctors in Santa Monica, CA

Christine Sun, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St # C2304, Santa Monica, CA 90404 Phone: 310-319-4698 Fax: 310-319-4908
Alanna Chau, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1250 16th Street, 2304 Central Wing, Santa Monica, CA 90404 Phone: 310-319-4698 Fax: 310-219-4908
Dr. Sarah Mun Yee Chan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St # C2304, Santa Monica, CA 90404 Phone: 310-319-4698
Dr. Josh Faguet, M.D., PH.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 310-829-5511
Dr. Eyong John Ly, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St, Suite A454, Santa Monica, CA 90404 Phone: 310-319-4698 Fax: 310-319-4908
Dr. Rahul Vasavada, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St, Suite 2304 Central Wing, Santa Monica, CA 90404 Phone: 310-319-4698
Shreeti Patel, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St, Santa Monica, CA 90404 Phone: 310-319-4698 Fax: 310-319-4908

Jelissa Ashley Mooyin, - Medicare Hospitalist in Santa Monica, CA