Shaun Sanucci, DO - Medicare Internal Medicine in San Diego, CA

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Shaun Sanucci, DO is a medicare enrolled "Internal Medicine" physician in San Diego, California. Her current practice location is 3930 Fourth Ave, Ste 200, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 297-9610.

Shaun Sanucci is licensed to practice in California (license number 12677) 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 1417129453.

Contact Information

Shaun Sanucci, DO
3930 Fourth Ave, Ste 200,
San Diego, CA 92103-3119
(619) 297-9610
(619) 297-2244

Map and Direction




Physician's Profile

Full NameShaun Sanucci
GenderFemale
SpecialityInternal Medicine
Location3930 Fourth Ave, San Diego, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417129453
  • Provider Enumeration Date: 03/31/2008
  • Last Update Date: 02/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3173858933
  • Enrollment ID: I20190716002155

Medical Identifiers

Medical identifiers for Shaun Sanucci such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417129453NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine SL0528 (Nevada)Secondary
207R00000XInternal Medicine 12677 (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. Shaun Sanucci allows following entities to bill medicare on her behalf.
Entity NameDesert Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114918612
PECOS PAC ID: 8123930427
Enrollment ID: O20031229000246
Entity NameBgm Medical Services Inc A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780356790
PECOS PAC ID: 3577956051
Enrollment ID: O20220204000946

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. Shaun Sanucci 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 AddressPractice Location Address
Shaun Sanucci, DO
620 Shadow Lane,
Las Vegas, NV 89106-4194

Ph: (702) 388-4000		Shaun Sanucci, DO
3930 Fourth Ave, Ste 200,
San Diego, CA 92103-3119

Ph: (619) 297-9610

Reviews and Comments


Internal Medicine Doctors in San Diego, CA

Dr. Ramin Motarjemi, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 200 W Arbor Dr, San Diego, CA 92103
Phone: 858-249-2500    Fax: 858-657-8069
Dr. Shweta Warner, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4647 Zion Ave, San Diego, CA 92120
Phone: 619-221-6258    Fax: 619-221-6012
Dr. Matthew James Roosevelt, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4647 Zion Ave, Department Of Hospital Medicine, San Diego, CA 92120
Phone: 619-952-5091    
Dr. Daniel Joseph Desantis, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: Naval Medical Ctr, 34800 Bob Wilson Dr., San Diego, CA 92134
Phone: 619-532-7935    
Jedidiah Daniel Bell,
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 200 W Arbor Dr, San Diego, CA 92103
Phone: 619-471-0434    
Dr. Umber Dube, MD PHD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 8899 University Center Lane, Suite 350 Mc 0975, San Diego, CA 92122
Phone: 858-657-1675    
Dr. Patricia Vold Pepper, MD, MSC, FACP
Internal Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134
Phone: 619-532-7504    Fax: 619-532-7508

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.