Gisela Ayub, DNP, PMHNP-BC in San Diego, CA - Medicare Nurse Practitioner

Gisela Ayub, DNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Diego, California. Her current practice location is 4540 Kearny Villa Rd Ste 103, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 279-1223.

Gisela Ayub is licensed to practice in California (license number 95004155) 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 1932548633.

Contact Information

	Gisela Ayub, DNP, PMHNP-BC
	4540 Kearny Villa Rd Ste 103, San Diego, CA 92123-1564
	(858) 279-1223
	Not Available

Map and Direction

Provider's Profile

Full Name	Gisela Ayub
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4540 Kearny Villa Rd Ste 103, 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: 1932548633
Provider Enumeration Date: 06/17/2013
Last Update Date: 04/23/2024

Medicare PECOS Information:

PECOS PAC ID: 3870870702
Enrollment ID: I20170502002763

Medical Identifiers

Medical identifiers for Gisela Ayub such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932548633	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP137309 (Texas)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95004155 (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. Gisela Ayub allows following entities to bill medicare on her 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

Entity Name	California Telemedicine Associates, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073153250 PECOS PAC ID: 7517371859 Enrollment ID: O20210128001414

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. Gisela Ayub 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
Gisela Ayub, DNP, PMHNP-BC 4540 Kearny Villa Rd Ste 103, San Diego, CA 92123-1564 Ph: () -	Gisela Ayub, DNP, PMHNP-BC 4540 Kearny Villa Rd Ste 103, San Diego, CA 92123-1564 Ph: (858) 279-1223

Reviews and Comments

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Gisela Ayub, DNP, PMHNP-BC - Medicare Nurse Practitioner in San Diego, CA