Lisa Ditsheko Weaver, MD in San Diego, CA

Lisa Ditsheko Weaver, MD is a medicare enrolled "Family Medicine" physician in San Diego, California. Her current practice location is 1809 National Ave, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 515-2300.

Lisa Ditsheko Weaver is licensed to practice in California (license number A180077) 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 1700345584.

Contact Information

	Lisa Ditsheko Weaver, MD
	1809 National Ave, San Diego, CA 92113-2113
	(619) 515-2300
	Not Available

Map and Direction

Physician's Profile

Full Name	Lisa Ditsheko Weaver
Gender	Female
Speciality	Family Medicine
Location	1809 National Ave, 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: 1700345584
Provider Enumeration Date: 03/19/2019
Last Update Date: 08/17/2023

Medicare PECOS Information:

PECOS PAC ID: 7315365012
Enrollment ID: I20221024000269

Medical Identifiers

Medical identifiers for Lisa Ditsheko Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700345584	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A180077 (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. Lisa Ditsheko Weaver allows following entities to bill medicare on her behalf.

Entity Name	Family Health Centers Of San Diego, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923

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. Lisa Ditsheko Weaver 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
Lisa Ditsheko Weaver, MD 823 Gateway Center Way, San Diego, CA 92102-4541 Ph: (619) 515-2300	Lisa Ditsheko Weaver, MD 1809 National Ave, San Diego, CA 92113-2113 Ph: (619) 515-2300

Reviews and Comments

Family Medicine Doctors in San Diego, CA

Dr. Kyle P. Edmonds, M.D., FAAHPM Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr # 8216, San Diego, CA 92103 Phone: 858-534-6091 Fax: 619-543-3947
Jessica C. Cook, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 4291 Robbins St, San Diego, CA 92122 Phone: 858-531-5692
Robina Ahmad, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6973 Linda Vista Rd, San Diego, CA 92111 Phone: 858-279-9676
Dr. Anna M Mercer, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273
Bashir A. Rawi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000
Martin P. Murillo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000
Erwin Guzman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000

Lisa Ditsheko Weaver, MD - Medicare Family Medicine in San Diego, CA