Justin James D Devera, DO in San Diego, CA - Medicare Student in an Organized Health Care Education/Training Program

Justin James D Devera, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in San Diego, California. His current practice location is 34800 Bob Wilson Dr, Building 3, Internal Medicine, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 532-6827.

Justin James D Devera is licensed to practice in Virginia (license number 0102206754) 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 1104449362.

Contact Information

	Justin James D Devera, DO
	34800 Bob Wilson Dr, Building 3, Internal Medicine, San Diego, CA 92134
	(619) 532-6827
	Not Available

Physician's Profile

Full Name	Justin James D Devera
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	34800 Bob Wilson Dr, 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: 1104449362
Provider Enumeration Date: 05/22/2020
Last Update Date: 07/25/2023

Medicare PECOS Information:

PECOS PAC ID: 1153778238
Enrollment ID: I20231110001779

Medical Identifiers

Medical identifiers for Justin James D Devera such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104449362	NPI	-	NPPES
1104449362	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	0102206754 (Virginia)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
390200000X	Student In An Organized Health Care Education/training Program	0102206754 (Virginia)	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. Justin James D Devera 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
Justin James D Devera, DO Unit 100267 Box 1663, Fpo, AE 09588-6716 Ph: () -	Justin James D Devera, DO 34800 Bob Wilson Dr, Building 3, Internal Medicine, San Diego, CA 92134 Ph: (619) 532-6827

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Justin James D Devera, DO - Medicare Student in an Organized Health Care Education/Training Program in San Diego, CA