Mr Raul Elguezabal, PA in San Diego, CA - Medicare Physician Assistant

Mr Raul Elguezabal, PA is a medicare enrolled "Physician Assistant - Medical" in San Diego, California. His current practice location is 1901 4th Ave, Suite 100, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 236-8796.

Mr Raul Elguezabal is licensed to practice in California (license number 15431) 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 1407918733.

Contact Information

	Mr Raul Elguezabal, PA
	1901 4th Ave, Suite 100, San Diego, CA 92101-2381
	(619) 236-8796
	(619) 238-5702

Map and Direction

Provider's Profile

Full Name	Mr Raul Elguezabal
Gender	Male
Speciality	Physician Assistant - Medical
Location	1901 4th 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: 1407918733
Provider Enumeration Date: 12/14/2006
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 2062504400
Enrollment ID: I20070815000553

Medical Identifiers

Medical identifiers for Mr Raul Elguezabal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407918733	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	15431 (California)	Primary

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. Mr Raul Elguezabal 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
Mr Raul Elguezabal, PA 1901 4th Ave, Suite 100, San Diego, CA 92101-2381 Ph: (619) 236-8796	Mr Raul Elguezabal, PA 1901 4th Ave, Suite 100, San Diego, CA 92101-2381 Ph: (619) 236-8796

Reviews and Comments

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Mr Raul Elguezabal, PA - Medicare Physician Assistant in San Diego, CA