Mrs Deisha Malones Wilson, DO in Vista, CA

Mrs Deisha Malones Wilson, DO is a medicare enrolled "Family Medicine" physician in Vista, California. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 145 Thunder Dr, Vista, California. You can reach out to her office (for appointments etc.) via phone at (760) 941-9002.

Mrs Deisha Malones Wilson is licensed to practice in California (license number 20A11676) 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 1053648626.

Contact Information

	Mrs Deisha Malones Wilson, DO
	145 Thunder Dr, Vista, CA 92083-6010
	(760) 941-9002
	(760) 630-2515

Map and Direction

Physician's Profile

Full Name	Mrs Deisha Malones Wilson
Gender	Female
Speciality	Family Practice
Experience	15 Years
Location	145 Thunder Dr, Vista, 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:

Mrs Deisha Malones Wilson attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2009

NPI Data:

NPI Number: 1053648626
Provider Enumeration Date: 11/03/2009
Last Update Date: 12/06/2021

Medicare PECOS Information:

PECOS PAC ID: 7113179847
Enrollment ID: I20121204000221

Medical Identifiers

Medical identifiers for Mrs Deisha Malones Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053648626	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	20A11676 (California)	Primary

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. Mrs Deisha Malones Wilson 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. Mrs Deisha Malones Wilson 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
Mrs Deisha Malones Wilson, DO 11 Technology Dr, Irvine, CA 92618-2302 Ph: (949) 923-3277	Mrs Deisha Malones Wilson, DO 145 Thunder Dr, Vista, CA 92083-6010 Ph: (760) 941-9002

Reviews and Comments

Family Medicine Doctors in Vista, CA

Mary C. Cueva, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 326 S Melrose Dr Ste 200, Vista, CA 92081 Phone: 866-228-2236 Fax: 760-330-9331
James V. Chabala, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 840 Townsite Dr, Vista, CA 92084 Phone: 760-630-2422
Kristina Lepard, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 204 S Santa Fe Ave, Vista, CA 92084 Phone: 760-941-8888
Ms. Juvy Escalante, PA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 204 S Santa Fe Ave, Vista, CA 92084 Phone: 760-473-0444
Alexander Shaft, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Cedar Rd, Vista, CA 92083 Phone: 760-806-5431
Sophia Le Bradley, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 130 Cedar Rd, Vista, CA 92083 Phone: 760-806-5500

Mrs Deisha Malones Wilson, DO - Medicare Family Practice in Vista, CA