Michelle Vijverberg Wooten, MD in Los Angeles, CA

Michelle Vijverberg Wooten, MD is a medicare enrolled "Emergency Medicine" physician in Los Angeles, California. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 1200 N State St Rm 1011, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (626) 716-6499.

Michelle Vijverberg Wooten is licensed to practice in California (license number A114114) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205128881.

Contact Information

	Michelle Vijverberg Wooten, MD
	1200 N State St Rm 1011, Los Angeles, CA 90033-1029
	(626) 716-6499
	Not Available

Map and Direction

Physician's Profile

Full Name	Michelle Vijverberg Wooten
Gender	Female
Speciality	Emergency Medicine
Experience	15 Years
Location	1200 N State St Rm 1011, Los Angeles, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michelle Vijverberg Wooten graduated from medical school in 2009

NPI Data:

NPI Number: 1205128881
Provider Enumeration Date: 05/13/2011
Last Update Date: 11/06/2021

Medicare PECOS Information:

PECOS PAC ID: 7416192216
Enrollment ID: I20130327000458

Medical Identifiers

Medical identifiers for Michelle Vijverberg Wooten such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205128881	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A114114 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital - Panorama City	Panorama city, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

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. Michelle Vijverberg Wooten 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

Entity Name	Saint Johns Emergency Medicine Specialists Inc A Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609888940 PECOS PAC ID: 9335046291 Enrollment ID: O20031217001093

Entity Name	Centinela Freeman Emergency Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528333101 PECOS PAC ID: 0042469108 Enrollment ID: O20121004000437

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. Michelle Vijverberg Wooten 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
Michelle Vijverberg Wooten, MD 1200 N State St Rm 1011, Los Angeles, CA 90033-1029 Ph: (626) 716-6499	Michelle Vijverberg Wooten, MD 1200 N State St Rm 1011, Los Angeles, CA 90033-1029 Ph: (626) 716-6499

Reviews and Comments

Emergency Medicine Doctors in Los Angeles, CA

Dr. Kenneth Taeyoung Kim, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Glendon Ave Ste 1200, Los Angeles, CA 90024 Phone: 310-794-0785
Dr. Tiffany Hackett, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd., Los Angeles, CA 90048 Phone: 310-967-1884 Fax: 310-967-1744
Brennen J. Beatty, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000
Matthew S. Berry, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000
Phillip Gruber, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 N State St, Los Angeles, CA 90033 Phone: 323-226-6667
Daniel Weingrow, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz, Los Angeles, CA 90095 Phone: 310-825-2111
Brian Truong, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 924 Westwood Blvd, Suite 300, Los Angeles, CA 90095 Phone: 310-794-0585

Michelle Vijverberg Wooten, MD - Medicare Emergency Medicine in Los Angeles, CA