Mrs Jacqueline Nicole Marston, DO in San Diego, CA

Mrs Jacqueline Nicole Marston, DO is a medicare enrolled "Family Medicine" physician in San Diego, California. Her current practice location is 6973 Linda Vista Rd, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 279-9676.

Mrs Jacqueline Nicole Marston is licensed to practice in California (license number 12402) 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 1417205055.

Contact Information

	Mrs Jacqueline Nicole Marston, DO
	6973 Linda Vista Rd, San Diego, CA 92111-6342
	(858) 279-9676
	(858) 279-0377

Map and Direction

Physician's Profile

Full Name	Mrs Jacqueline Nicole Marston
Gender	Female
Speciality	Family Medicine
Location	6973 Linda Vista Rd, 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: 1417205055
Provider Enumeration Date: 08/28/2012
Last Update Date: 05/31/2016

Medicare PECOS Information:

PECOS PAC ID: 3375792625
Enrollment ID: I20121003000019

Medical Identifiers

Medical identifiers for Mrs Jacqueline Nicole Marston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417205055	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	12402 (California)	Primary
207Q00000X	Family Medicine	259895 (New York)	Secondary

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 Jacqueline Nicole Marston allows following entities to bill medicare on her behalf.

Entity Name	Venice Family Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669418513 PECOS PAC ID: 2264339126 Enrollment ID: O20031217001082

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 Jacqueline Nicole Marston 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 Jacqueline Nicole Marston, DO 6973 Linda Vista Rd, San Diego, CA 92111-6342 Ph: (858) 279-9676	Mrs Jacqueline Nicole Marston, DO 6973 Linda Vista Rd, San Diego, CA 92111-6342 Ph: (858) 279-9676

Reviews and Comments

Family Medicine Doctors in San Diego, CA

Dr. Kyle P. Edmonds, M.D., FAAHPM Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr # 8216, San Diego, CA 92103 Phone: 858-534-6091 Fax: 619-543-3947
Jessica C. Cook, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 4291 Robbins St, San Diego, CA 92122 Phone: 858-531-5692
Robina Ahmad, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6973 Linda Vista Rd, San Diego, CA 92111 Phone: 858-279-9676
Dr. Anna M Mercer, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273
Bashir A. Rawi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000
Martin P. Murillo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000
Erwin Guzman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000

Mrs Jacqueline Nicole Marston, DO - Medicare Family Medicine in San Diego, CA