Katya Isabel De Souza, in Fremont, CA - Medicare Emergency Medicine

Katya Isabel De Souza, is a medicare enrolled "Emergency Medicine" physician in Fremont, California. Her current practice location is 39400 Paseo Padre Pkwy, Fremont, California. You can reach out to her office (for appointments etc.) via phone at (510) 248-3000.

Katya Isabel De Souza is licensed to practice in California (license number 176050) 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 1417452228.

Contact Information

	Katya Isabel De Souza,
	39400 Paseo Padre Pkwy, Fremont, CA 94538-2310
	(510) 248-3000
	Not Available

Physician's Profile

Full Name	Katya Isabel De Souza
Gender	Female
Speciality	Emergency Medicine
Location	39400 Paseo Padre Pkwy, Fremont, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417452228
Provider Enumeration Date: 03/26/2018
Last Update Date: 08/23/2022

Medicare PECOS Information:

PECOS PAC ID: 5991181117
Enrollment ID: I20220926001662

Medical Identifiers

Medical identifiers for Katya Isabel De Souza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417452228	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	176050 (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. Katya Isabel De Souza allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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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. Katya Isabel De Souza 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
Katya Isabel De Souza, 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 Ph: (510) 248-3000	Katya Isabel De Souza, 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 Ph: (510) 248-3000

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Emergency Medicine Doctors in Fremont, CA

Jerry Vann Martin, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2500 Mowry Ave, Suite 212, Fremont, CA 94538 Phone: 510-608-6174 Fax: 510-745-6435
Lisa L. Minshall, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-795-3000
Dr. Usha Rengarajan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3200 Kearney St, Fremont, CA 94538 Phone: 510-490-1222
Dr. Shelly Verma, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Kearney St, Fremont, CA 94538 Phone: 510-490-1222
Jamey J. Rock, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-795-3000
Adele S Hultin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-795-3000
Stephen L Montgomery, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2000 Mowry Ave, Fremont, CA 94538 Phone: 510-791-3430

Katya Isabel De Souza, - Medicare Emergency Medicine in Fremont, CA

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Emergency Medicine Doctors in Fremont, CA