Andre Boustani, MD - Medicare Emergency Medicine in La Mesa, CA

Andre Boustani, MD is a medicare enrolled "Emergency Medicine" physician in La Mesa, California. He went to Vanderbilt University School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Team Physicians Of Northern California Medical Group Inc and his current practice location is 5555 Grossmont Center Dr, La Mesa, California. You can reach out to his office (for appointments etc.) via phone at (619) 740-6000.

Andre Boustani is licensed to practice in California (license number 135379) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386938397.

Contact Information

Andre Boustani, MD
5555 Grossmont Center Dr,
La Mesa, CA 91942-3019
(619) 740-6000
Not Available



Physician's Profile

Full NameAndre Boustani
GenderMale
SpecialityEmergency Medicine
Experience13 Years
Location5555 Grossmont Center Dr, La Mesa, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Andre Boustani attended and graduated from Vanderbilt University School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1386938397
  • Provider Enumeration Date: 06/07/2011
  • Last Update Date: 11/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7012135700
  • Enrollment ID: I20150610000015

Medical Identifiers

Medical identifiers for Andre Boustani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386938397NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine LP02315 (Rhode Island)Secondary
207P00000XEmergency Medicine 135379 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grossmont HospitalLa mesa, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Team Physicians Of Northern California Medical Group Inc711321514695

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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. Andre Boustani allows following entities to bill medicare on his behalf.
Entity NameTeam Physicians Of Northern California Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649692716
PECOS PAC ID: 7113215146
Enrollment ID: O20161006002407

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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. Andre Boustani 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
Andre Boustani, MD
5555 Grossmont Center Dr,
La Mesa, CA 91942-3019

Ph: (619) 740-6000
Andre Boustani, MD
5555 Grossmont Center Dr,
La Mesa, CA 91942-3019

Ph: (619) 740-6000

News Archive

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The first lady has kicked off a national campaign that charges young Americans to "get up and move," changing the life goals of the newest generation. While the campaign and message are a strong effort, a national epidemic can only be changed with a personal choice to live better. It all starts with one parent, one effort, to take the time to live healthier, to want your children to live healthier. It's more than the number on a scale; it's a way of life.

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Emergency Medicine Doctors in La Mesa, CA

Brendan J Lee, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942
Phone: 619-644-4401    
Christa Ann Landowska Arefieva, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942
Phone: 619-740-6000    
David Miles, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942
Phone: 619-740-6000    
Dr. Jack J Springer, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942
Phone: 619-710-4145    
John Kim, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942
Phone: 619-740-6000    
Dr. Tania Portillo, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942
Phone: 619-740-6000    
Joseph Witkin, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5555 Grossmont Center Drive, La Mesa, CA 91942
Phone: 619-644-4401    

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