Daniel T Matulich, MD - Medicare Emergency Medicine in Santa Rosa, CA

Daniel T Matulich, MD is a medicare enrolled "Emergency Medicine" physician in Santa Rosa, California. His current practice location is 1165 Montgomery Dr, Santa Rosa Memorial Hospital, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 552-1573.

Daniel T Matulich is licensed to practice in California (license number G48662) 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 1043254600.

Contact Information

Daniel T Matulich, MD
1165 Montgomery Dr, Santa Rosa Memorial Hospital,
Santa Rosa, CA 95405-4801
(707) 552-1573
Not Available



Physician's Profile

Full NameDaniel T Matulich
GenderMale
SpecialityEmergency Medicine
Location1165 Montgomery Dr, Santa Rosa, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043254600
  • Provider Enumeration Date: 06/15/2006
  • Last Update Date: 09/10/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0749246031
  • Enrollment ID: I20070925000522

Medical Identifiers

Medical identifiers for Daniel T Matulich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043254600NPI-NPPES
00G486620MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine G48662 (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. Daniel T Matulich allows following entities to bill medicare on his behalf.
Entity NameLakeline Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316426505
PECOS PAC ID: 7214281492
Enrollment ID: O20181107002405

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Entity NameRound Rock Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902264963
PECOS PAC ID: 0648524306
Enrollment ID: O20181119001606

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Entity NameLake Travis Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851803688
PECOS PAC ID: 7315291929
Enrollment ID: O20181120000263

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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. Daniel T Matulich 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
Daniel T Matulich, MD
1165 Montgomery Dr,
Santa Rosa, CA 95405-4801

Ph: () -
Daniel T Matulich, MD
1165 Montgomery Dr, Santa Rosa Memorial Hospital,
Santa Rosa, CA 95405-4801

Ph: (707) 552-1573

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Emergency Medicine Doctors in Santa Rosa, CA

Barry Smith, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: Santa Rosa Memorial Hospital, 1165 Montgomery Drive, Santa Rosa, CA 95405
Phone: 707-522-1573    
Dr. Ridgely Oliver Muller, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405
Phone: 707-525-5207    Fax: 626-397-5643
James John Mc Keith, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1165 Montgomery Dr, Santa Rosa Memorial Hospital, Santa Rosa, CA 95405
Phone: 707-525-5207    
Christina Marie Goodwin, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1165 Montgomery Dr, M/s 1w04, Santa Rosa, CA 95405
Phone: 707-547-5471    Fax: 707-525-5280
Yizza Narvaez, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 707-684-1538    
S. Mitchell Savitsky, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 707-571-4000    

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