Mrs Jena Depetris, MD in Los Angeles, CA - Medicare Diagnostic Radiology

Mrs Jena Depetris, MD is a medicare enrolled "Radiology - Body Imaging" physician in Los Angeles, California. She went to University Of Southern California Keck School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Martin Luther King Jr Community Medical Group, Ucla Radiology Medical Group and her current practice location is 757 Westwood Plz, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 301-6800.

Mrs Jena Depetris is licensed to practice in California (license number A167170) 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 1962889063.

Contact Information

	Mrs Jena Depetris, MD
	757 Westwood Plz, Los Angeles, CA 90095-8358
	(310) 301-6800
	(310) 794-9035

Map and Direction

Physician's Profile

Full Name	Mrs Jena Depetris
Gender	Female
Speciality	Diagnostic Radiology
Experience	9 Years
Location	757 Westwood Plz, 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:

Mrs Jena Depetris attended and graduated from University Of Southern California Keck School Of Medicine in 2015

NPI Data:

NPI Number: 1962889063
Provider Enumeration Date: 04/28/2015
Last Update Date: 10/21/2020

Medicare PECOS Information:

PECOS PAC ID: 6305144452
Enrollment ID: I20200522001543

Medical Identifiers

Medical identifiers for Mrs Jena Depetris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962889063	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085B0100X	Radiology - Body Imaging	A167170 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ronald Reagan Ucla Medical Center	Los angeles, CA	Hospital
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital	Santa monica, CA	Hospital
Martin Luther King, Jr. Community Hospital	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Martin Luther King Jr Community Medical Group	8628359502	165
Ucla Radiology Medical Group	8921902065	182

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 Jena Depetris allows following entities to bill medicare on her behalf.

Entity Name	Ucla Radiology Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881670248 PECOS PAC ID: 8921902065 Enrollment ID: O20031120001026

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891110888 PECOS PAC ID: 5294958815 Enrollment ID: O20140528001538

Entity Name	Martin Luther King Jr Community Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356899777 PECOS PAC ID: 8628359502 Enrollment ID: O20170109001311

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 Jena Depetris 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 Jena Depetris, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () -	Mrs Jena Depetris, MD 757 Westwood Plz, Los Angeles, CA 90095-8358 Ph: (310) 301-6800

Reviews and Comments

Radiology Doctors in Los Angeles, CA

Doron Ben Avi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1516 Cotner Ave, Los Angeles, CA 90025 Phone: 310-445-2951 Fax: 310-479-1459
Hsin Y Lee, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Los Angeles, CA 90095 Phone: 310-825-4721
Colin J. Wells, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Los Angeles, CA 90095 Phone: 310-301-6800
Eric Allan White, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St Fl 2, Los Angeles, CA 90033 Phone: 323-442-8541 Fax: 323-442-8755
Dr. Lloyd Edward Greaser Iii, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10833 Le Conte Ave, Department Of Radiology, Los Angeles, CA 90095 Phone: 310-825-4321
Dr. Hanako Yamauchi Farol, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4950 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-783-7571
Siamak Dardashti, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1516 Cotner Ave, Los Angeles, CA 90025 Phone: 310-445-2951 Fax: 310-479-1459

Mrs Jena Depetris, MD - Medicare Diagnostic Radiology in Los Angeles, CA