Mr Armando V Depala Jr, MD in Petaluma, CA

Mr Armando V Depala Jr, MD is a medicare enrolled "Pediatrics" physician in Petaluma, California. His current practice location is 1550 A Professional Drive, Petaluma, California. You can reach out to his office (for appointments etc.) via phone at (707) 769-7403.

Mr Armando V Depala Jr is licensed to practice in California (license number A52324) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912938085.

Contact Information

	Mr Armando V Depala Jr, MD
	1550 A Professional Drive, Petaluma, CA 94954
	(707) 769-7403
	(707) 769-0134

Map and Direction

Physician's Profile

Full Name	Mr Armando V Depala Jr
Gender	Male
Speciality	Pediatrics
Location	1550 A Professional Drive, Petaluma, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912938085
Provider Enumeration Date: 07/06/2006
Last Update Date: 12/03/2021

Medicare PECOS Information:

PECOS PAC ID: 4284873092
Enrollment ID: I20130626000555

Medical Identifiers

Medical identifiers for Mr Armando V Depala Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912938085	NPI	-	NPPES
00A523240	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A52324 (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. Mr Armando V Depala Jr allows following entities to bill medicare on his behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Mr Armando V Depala Jr 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
Mr Armando V Depala Jr, MD 1550 A Professional Drive, Petaluma, CA 94954 Ph: (707) 769-7403	Mr Armando V Depala Jr, MD 1550 A Professional Drive, Petaluma, CA 94954 Ph: (707) 769-7403

Reviews and Comments

Pediatrics Doctors in Petaluma, CA

Dr. Lindsey Hibbard, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3920 Fax: 707-765-3461
Mrs. Faye Susan Lundergan, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1456 Professional Dr Ste 405, Petaluma, CA 94954 Phone: 707-769-7500 Fax: 707-769-7570
Donald S. Hensley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3900
Dr. Eric D. Scher, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 400 4th St, Petaluma, CA 94952 Phone: 415-846-9160
Dr. Ian Christopher Hopper, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500
Carol A. Ekelund, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3900
Ms. Martha E Cueto-salas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 Fax: 707-559-7707

Mr Armando V Depala Jr, MD - Medicare Pediatrics in Petaluma, CA