Marisa Deptala, FNP - Medicare Nurse Practitioner in Chula Vista, CA

Marisa Deptala, FNP is a medicare enrolled "Nurse Practitioner - Family" in Chula Vista, California. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Jean Rizkallah, M.d., Inc and her current practice location is 450 4th Ave Ste 408, Chula Vista, California. You can reach out to her office (for appointments etc.) via phone at (619) 691-1990.

Marisa Deptala is licensed to practice in California (license number 95005347) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083166615.

Contact Information

Marisa Deptala, FNP
450 4th Ave Ste 408,
Chula Vista, CA 91910-4430
(619) 691-1990
Not Available



Provider's Profile

Full NameMarisa Deptala
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location450 4th Ave Ste 408, Chula Vista, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Marisa Deptala graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1083166615
  • Provider Enumeration Date: 10/31/2016
  • Last Update Date: 04/13/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6103180799
  • Enrollment ID: I20180507002811

Medical Identifiers

Medical identifiers for Marisa Deptala such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083166615NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95005347 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jean Rizkallah, M.d., Inc93352728304

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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. Marisa Deptala allows following entities to bill medicare on her behalf.
Entity NameJean Rizkallah, M.d., Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760702237
PECOS PAC ID: 9335272830
Enrollment ID: O20100804000963

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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. Marisa Deptala 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
Marisa Deptala, FNP
450 Fourth Ave Ste 408,
Chula Vista, CA 91910-4430

Ph: () -
Marisa Deptala, FNP
450 4th Ave Ste 408,
Chula Vista, CA 91910-4430

Ph: (619) 691-1990

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Nurse Practitioner Nurses in Chula Vista, CA

Linda Helen Marshall, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 751 Medical Center Ct, Chula Vista, CA 91911
Phone: 619-502-5946    
Stephanie Reittinger, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 865 3rd Ave Ste 101, Chula Vista, CA 91911
Phone: 619-426-7910    Fax: 619-426-2337
Allison Marie Davies-uppal, PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2360 Corte Pescado, #88, Chula Vista, CA 91914
Phone: 858-335-0682    
Sarah Ju Young Keum, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 450 4th Ave Ste 311, Chula Vista, CA 91910
Phone: 619-371-9156    
Genevieve Della Rosa Deutsch, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 765 Medical Center Ct Ste 209, Chula Vista, CA 91911
Phone: 619-427-8892    Fax: 619-422-7660
Charles Brown,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 751 Medical Center Ct, Chula Vista, CA 91911
Phone: 760-201-6752    
Cody James Nugent, PSYCHIATRIC NP. DNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 709 3rd Ave, Chula Vista, CA 91910
Phone: 619-585-3000    Fax: 619-585-3002

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