Marla Ann Petriello, DO in San Diego, CA - Medicare Physical Medicine & Rehabilitation

Marla Ann Petriello, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in San Diego, California. Her current practice location is 5602 University Ave, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 583-1993.

Marla Ann Petriello is licensed to practice in California (license number 20A19887) 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 1063917375.

Contact Information

	Marla Ann Petriello, DO
	5602 University Ave, San Diego, CA 92105-2308
	(619) 583-1993
	Not Available

Map and Direction

Physician's Profile

Full Name	Marla Ann Petriello
Gender	Female
Speciality	Physical Medicine & Rehabilitation
Location	5602 University 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: 1063917375
Provider Enumeration Date: 03/28/2018
Last Update Date: 01/04/2024

Medicare PECOS Information:

PECOS PAC ID: 4688037427
Enrollment ID: I20230828001999

Medical Identifiers

Medical identifiers for Marla Ann Petriello such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063917375	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	20A19887 (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. Marla Ann Petriello allows following entities to bill medicare on her behalf.

Entity Name	Enloe Medical Center
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1972905503 PECOS PAC ID: 9739092388 Enrollment ID: O20141027001872

Entity Name	West Coast Health And Rehab Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043743891 PECOS PAC ID: 8325315609 Enrollment ID: O20170517002654

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. Marla Ann Petriello 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
Marla Ann Petriello, DO 3036 Dale St, San Diego, CA 92104-4930 Ph: (267) 346-3465	Marla Ann Petriello, DO 5602 University Ave, San Diego, CA 92105-2308 Ph: (619) 583-1993

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in San Diego, CA

Dr. Rogelio Hernandez Jr., DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1764 San Diego Ave, Suite 100, San Diego, CA 92110 Phone: 619-291-1959
James Donald Fontaine, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4765 Carmel Mountain Rd, 207b, San Diego, CA 92130 Phone: 858-876-1300
David Ryan Bakal, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273
Dr. Susan Keiko Nakamura, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3350 La Jolla Village Dr, Pmrs 117, San Diego, CA 92161 Phone: 858-642-1147
Jake Fellow, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 11848 Bernardo Plaza Ct Ste 100, San Diego, CA 92128 Phone: 858-217-2496
Dr. Blake R Thompson, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 9040 Friars Rd, Suite 400, San Diego, CA 92108 Phone: 619-284-6377 Fax: 619-528-2841
Mr. Rajiv D Reddy, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 619-543-5754

Marla Ann Petriello, DO - Medicare Physical Medicine & Rehabilitation in San Diego, CA