Melissa Province Bennett, MD in San Diego, CA - Medicare Obstetrics & Gynecology

Melissa Province Bennett, MD is a medicare enrolled "Obstetrics & Gynecology" physician in San Diego, California. Her current practice location is 4647 Zion Ave, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 528-5000.

Melissa Province Bennett is licensed to practice in California (license number A92274) 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 1053469080.

Contact Information

	Melissa Province Bennett, MD
	4647 Zion Ave, San Diego, CA 92120-2507
	(619) 528-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Melissa Province Bennett
Gender	Female
Speciality	Obstetrics & Gynecology
Location	4647 Zion 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: 1053469080
Provider Enumeration Date: 01/08/2007
Last Update Date: 11/29/2021

Medicare PECOS Information:

PECOS PAC ID: 0648362897
Enrollment ID: I20070817000567

Medical Identifiers

Medical identifiers for Melissa Province Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053469080	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	A92274 (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. Melissa Province Bennett allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Melissa Province Bennett 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
Melissa Province Bennett, MD 4647 Zion Ave, San Diego, CA 92120-2507 Ph: (619) 528-5000	Melissa Province Bennett, MD 4647 Zion Ave, San Diego, CA 92120-2507 Ph: (619) 528-5000

Reviews and Comments

Obstetrics & Gynecology Doctors in San Diego, CA

Ann Marie Pena, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000
Yu-kang Ying, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1325 Pacific Hwy, Unit 3301, San Diego, CA 92101 Phone: 818-876-2420
Valerie Vaale Gafori, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9339 Genesee Ave, Ste 220, San Diego, CA 92121 Phone: 858-455-7520 Fax: 858-554-1312
Erin Andrea Gross, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273
Dr. Erin Barcarse, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, Dept 8433, San Diego, CA 92103 Phone: 619-543-7878
Anupam Garg, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2918 Fifth Ave, Suite 100, San Diego, CA 92103 Phone: 619-688-0770 Fax: 619-688-0987
Dr. Douglas Andrew Woelkers, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, Ucsd Medical Center, San Diego, CA 92103 Phone: 619-543-2384 Fax: 619-543-3707

Melissa Province Bennett, MD - Medicare Obstetrics & Gynecology in San Diego, CA