- Medicare Podiatrist in La Jolla, CA

is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in La Jolla, California. Their current practice location is 9850 Genesee Ave Ste 510, La Jolla, California. You can reach out to their office (for appointments etc.) via phone at (510) 399-0221.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1023723913.

Contact Information

9850 Genesee Ave Ste 510,
La Jolla, CA 92037-1213
(510) 399-0221
Not Available

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityPodiatrist - Foot & Ankle Surgery
Location9850 Genesee Ave Ste 510, La Jolla, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023723913
  • Provider Enumeration Date: 01/16/2023
  • Last Update Date: 06/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5395110076
  • Enrollment ID: O20230411001724

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023723913NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist (* (Not Available))Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery (* (Not Available))Primary
332B00000XDurable Medical Equipment & Medical Supplies (* (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. acts as a billing entity for following providers:
Provider NameRichard L Evans
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1750492955
PECOS PAC ID: 6002894730
Enrollment ID: I20040709000784
Provider NameMatthew M Do
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1881602993
PECOS PAC ID: 8325054422
Enrollment ID: I20060227000753
Provider NameRonald E Lieberman
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1811986599
PECOS PAC ID: 0749325991
Enrollment ID: I20100226000745
Provider NameJoan Marie Meyer
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1629071725
PECOS PAC ID: 1456469519
Enrollment ID: I20101011000693
Provider NameBrad William Ruetenik
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1093706590
PECOS PAC ID: 0749449478
Enrollment ID: I20120315000371
Provider NameRobert Vallone
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1750331252
PECOS PAC ID: 9133242043
Enrollment ID: I20120329000678
Provider NameJulie Miller
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1619115664
PECOS PAC ID: 9133429194
Enrollment ID: I20151123001682
Provider NameAmy Wong
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1942654959
PECOS PAC ID: 9830484948
Enrollment ID: I20191118002359
Provider NameColby Berger
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1831756105
PECOS PAC ID: 5597144626
Enrollment ID: I20220621002175
Provider NameLora D Yeager-smith
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1811939176
PECOS PAC ID: 0648265546
Enrollment ID: I20220830003350
Provider NameFawzy Ahmed Ibrahim
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1235886037
PECOS PAC ID: 3173994795
Enrollment ID: I20230118002608
Provider NameJochen Thorsten Schaefer
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1831356757
PECOS PAC ID: 5395938419
Enrollment ID: I20240930001489

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. 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 AddressPractice Location Address

Po Box 34869,
Belfast, ME 04915-0626

Ph: (858) 450-9218

9850 Genesee Ave Ste 510,
La Jolla, CA 92037-1213

Ph: (510) 399-0221

Reviews and Comments


Podiatrist in La Jolla, CA

Dr. Dean J. Vayser, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037
Phone: 858-554-9300    
Dr. Joseph Ellis, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 8677 Villa La Jolla Dr, 1208, La Jolla, CA 92037
Phone: 760-845-0509    
Gregory D. Clark, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037
Phone: 858-554-9946    Fax: 858-784-5933
Mr. Michael Lee Simons, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 7301 Girard Ave, #202, La Jolla, CA 92037
Phone: 858-454-7133    Fax: 858-454-7706
Dr. Colby Berger, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 9850 Genesee Ave Ste 510, La Jolla, CA 92037
Phone: 858-450-9218    Fax: 858-450-3296
Dr. Jay Scott Berenter, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 9850 Genesee Ave, Ste 370, La Jolla, CA 92037
Phone: 858-450-9218    Fax: 858-450-3296

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.