Tina Nikoomanesh, DO in San Diego, CA - Medicare Internal Medicine

Tina Nikoomanesh, DO is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in San Diego, California. Her current practice location is 4077 Fifth Ave # Mer35, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 294-8111.

Tina Nikoomanesh is licensed to practice in California (license number 20A17855) 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 1801390042.

Contact Information

	Tina Nikoomanesh, DO
	4077 Fifth Ave # Mer35, San Diego, CA 92103-2105
	(619) 294-8111
	Not Available

Map and Direction

Physician's Profile

Full Name	Tina Nikoomanesh
Gender	Female
Speciality	Internal Medicine - Endocrinology, Diabetes & Metabolism
Location	4077 Fifth Ave # Mer35, 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: 1801390042
Provider Enumeration Date: 03/21/2018
Last Update Date: 07/13/2023

Medicare PECOS Information:

PECOS PAC ID: 7012389539
Enrollment ID: I20230209002950

Medical Identifiers

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

Identifier	Type	State	Issuer
1801390042	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	20A17855 (California)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Tina Nikoomanesh allows following entities to bill medicare on her behalf.

Entity Name	Community Memorial Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215903018 PECOS PAC ID: 9537155676 Enrollment ID: O20040422001668

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 Nikoomanesh 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 Nikoomanesh, DO 4077 Fifth Ave # Mer35, San Diego, CA 92103-2105 Ph: () -	Tina Nikoomanesh, DO 4077 Fifth Ave # Mer35, San Diego, CA 92103-2105 Ph: (619) 294-8111

Reviews and Comments

Internal Medicine Doctors in San Diego, CA

Dr. Ramin Motarjemi, M.D. Endocrinology, Diabetes & Metabolism 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. Endocrinology, Diabetes & Metabolism 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. Endocrinology, Diabetes & Metabolism 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 Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: Naval Medical Ctr, 34800 Bob Wilson Dr., San Diego, CA 92134 Phone: 619-532-7935
Jedidiah Daniel Bell, Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 619-471-0434
Dr. Umber Dube, MD PHD Endocrinology, Diabetes & Metabolism 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 Endocrinology, Diabetes & Metabolism Medicare: May Accept Medicare Assignments Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-7504 Fax: 619-532-7508

Tina Nikoomanesh, DO - Medicare Internal Medicine in San Diego, CA