Stephen John Croughan, MD in San Diego, CA

Stephen John Croughan, MD is a medicare enrolled "Family Medicine" physician in San Diego, California. His current practice location is 2937 Beyer Blvd, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (310) 627-2378.

Stephen John Croughan is licensed to practice in California (license number A41669) 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 1043323629.

Contact Information

	Stephen John Croughan, MD
	2937 Beyer Blvd, San Diego, CA 92154
	(310) 627-2378
	(801) 749-4963

Map and Direction

Physician's Profile

Full Name	Stephen John Croughan
Gender	Male
Speciality	Family Medicine
Location	2937 Beyer Blvd, 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: 1043323629
Provider Enumeration Date: 08/16/2006
Last Update Date: 11/03/2022

Medicare PECOS Information:

PECOS PAC ID: 8729302856
Enrollment ID: I20150121001079

Medical Identifiers

Medical identifiers for Stephen John Croughan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043323629	NPI	-	NPPES
00A416690	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A41669 (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. Stephen John Croughan allows following entities to bill medicare on his behalf.

Entity Name	Centro De Salud De La Comunidad De San Ysidro, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711

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. Stephen John Croughan 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
Stephen John Croughan, MD P.o. Box 927704, San Diego, CA 92192-7704 Ph: (310) 627-2378	Stephen John Croughan, MD 2937 Beyer Blvd, San Diego, CA 92154 Ph: (310) 627-2378

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

Stephen John Croughan, MD - Medicare Family Medicine in San Diego, CA