Khaleedah Young, DO in Manteca, CA - Medicare Family Medicine

Khaleedah Young, DO is a medicare enrolled "Family Medicine" physician in Manteca, California. Her current practice location is 1721 W Yosemite Ave, Manteca, California. You can reach out to her office (for appointments etc.) via phone at (209) 825-3700.

Khaleedah Young is licensed to practice in California (license number 20A11089) 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 1083949721.

Contact Information

	Khaleedah Young, DO
	1721 W Yosemite Ave, Manteca, CA 95337-5130
	(209) 825-3700
	Not Available

Map and Direction

Physician's Profile

Full Name	Khaleedah Young
Gender	Female
Speciality	Family Medicine
Location	1721 W Yosemite Ave, Manteca, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083949721
Provider Enumeration Date: 10/14/2009
Last Update Date: 12/15/2021

Medicare PECOS Information:

PECOS PAC ID: 6507039591
Enrollment ID: I20111108000574

Medical Identifiers

Medical identifiers for Khaleedah Young such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083949721	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	20A11089 (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. Khaleedah Young 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. Khaleedah Young 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
Khaleedah Young, DO 1721 W Yosemite Ave, Manteca, CA 95337-5130 Ph: (209) 825-3700	Khaleedah Young, DO 1721 W Yosemite Ave, Manteca, CA 95337-5130 Ph: (209) 825-3700

Reviews and Comments

Family Medicine Doctors in Manteca, CA

Syed Rahman, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 165 Saint Dominics Dr Ste 201, Manteca, CA 95337 Phone: 209-823-2345
Marflorendo Macaltao, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 241 W Yosemite Ave, Manteca, CA 95336 Phone: 209-585-1066
Barbara Jane Bauer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-476-2000
Dhimant B. Shelat, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-476-2000
Ohnmar H. Thaung, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-476-2000
Susan Nylen, NFP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1140 Norman Dr, Suite 101, Manteca, CA 95336 Phone: 209-825-7748

Khaleedah Young, DO - Medicare Family Medicine in Manteca, CA