Tina Mcgovern, MD in San Diego, CA - Medicare Emergency Medicine

Tina Mcgovern, MD is a medicare enrolled "Emergency Medicine" physician in San Diego, California. Her current practice location is 4647 Zion Ave, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 528-5266.

Tina Mcgovern is licensed to practice in California (license number A129470) 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 1184941510.

Contact Information

	Tina Mcgovern, MD
	4647 Zion Ave, San Diego, CA 92120-2507
	(619) 528-5266
	Not Available

Map and Direction

Physician's Profile

Full Name	Tina Mcgovern
Gender	Female
Speciality	Emergency Medicine
Location	4647 Zion Ave, 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: 1184941510
Provider Enumeration Date: 04/25/2010
Last Update Date: 11/29/2021

Medicare PECOS Information:

PECOS PAC ID: 1759509052
Enrollment ID: I20140828001114

Medical Identifiers

Medical identifiers for Tina Mcgovern such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184941510	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A129470 (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. Tina Mcgovern 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. Tina Mcgovern 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
Tina Mcgovern, MD 4647 Zion Ave, San Diego, CA 92120-2507 Ph: (619) 528-5266	Tina Mcgovern, MD 4647 Zion Ave, San Diego, CA 92120-2507 Ph: (619) 528-5266

Reviews and Comments

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Tina Mcgovern, MD - Medicare Emergency Medicine in San Diego, CA