Ms Deanna Lynn Kudulis, NP in La Jolla, CA - Medicare Nurse Practitioner

Ms Deanna Lynn Kudulis, NP is a medicare enrolled "Nurse Practitioner - Family" in La Jolla, California. Her current practice location is 8831 Villa La Jolla Dr, La Jolla, California. You can reach out to her office (for appointments etc.) via phone at (858) 457-4480.

Ms Deanna Lynn Kudulis is licensed to practice in California (license number 15849) 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 1285715052.

Contact Information

	Ms Deanna Lynn Kudulis, NP
	8831 Villa La Jolla Dr, La Jolla, CA 92037-1949
	(858) 457-4480
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Deanna Lynn Kudulis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	8831 Villa La Jolla Dr, La Jolla, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285715052
Provider Enumeration Date: 10/18/2006
Last Update Date: 06/12/2019

Medicare PECOS Information:

PECOS PAC ID: 2163448143
Enrollment ID: I20051019000390

Medical Identifiers

Medical identifiers for Ms Deanna Lynn Kudulis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285715052	NPI	-	NPPES
1285715052	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	15849 (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. Ms Deanna Lynn Kudulis allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Medical Group Of San Diego Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568659233 PECOS PAC ID: 2567520414 Enrollment ID: O20090127000249

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. Ms Deanna Lynn Kudulis 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
Ms Deanna Lynn Kudulis, NP 8831 Villa La Jolla Dr, La Jolla, CA 92037-1949 Ph: (661) 972-5317	Ms Deanna Lynn Kudulis, NP 8831 Villa La Jolla Dr, La Jolla, CA 92037-1949 Ph: (858) 457-4480

Reviews and Comments

Nurse Practitioner Nurses in La Jolla, CA

Ms. Jumai Fathiya Dawuda, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10710 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-7100
Bonnie Susan Omeara, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9500 Gilman Dr, La Jolla, CA 92093 Phone: 858-534-3300
Yevheniya Khrobust, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9850 Genesee Ave, La Jolla, CA 92037 Phone: 858-554-9100
Maggie Searson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9435 Medical Center Dr, La Jolla, CA 92037 Phone: 858-657-8530
Angela R Acfalle, NP CNS Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9500 Gilman Dr, # 0039, La Jolla, CA 92093 Phone: 858-534-2918
Jessica Merchant, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9834 Genesee Ave Ste 412, La Jolla, CA 92037 Phone: 858-457-8600
Dr. Nicole Lorraine Brustkern, DNP, FNP-C, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5726 La Jolla Blvd, La Jolla, CA 92037 Phone: 425-269-2369

Ms Deanna Lynn Kudulis, NP - Medicare Nurse Practitioner in La Jolla, CA