Dr Mark S Fan, MD - Medicare Obstetrics/gynecology in Bellevue, WA

Dr Mark S Fan, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Bellevue, Washington. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Northeast Valley Health Corporation and his current practice location is 1515 116th Ave Ne Ste 205, Bellevue, Washington. You can reach out to his office (for appointments etc.) via phone at (310) 866-3707.

Dr Mark S Fan is licensed to practice in New York (license number NOT YET) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1164685632.

Contact Information

Dr Mark S Fan, MD
1515 116th Ave Ne Ste 205,
Bellevue, WA 98004-3811
(310) 866-3707
(425) 999-4858



Physician's Profile

Full NameDr Mark S Fan
GenderMale
SpecialityObstetrics/gynecology
Experience18 Years
Location1515 116th Ave Ne Ste 205, Bellevue, Washington
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mark S Fan graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1164685632
  • Provider Enumeration Date: 07/05/2008
  • Last Update Date: 02/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0345373189
  • Enrollment ID: I20180703003241

Medical Identifiers

Medical identifiers for Dr Mark S Fan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164685632NPI-NPPES
0264461OtherWASTATE L&I

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology MD60122545 (Washington)Secondary
207V00000XObstetrics & Gynecology A112478 (California)Secondary
207V00000XObstetrics & Gynecology NOT YET (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeast Valley Health Corporation317351732365

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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. Dr Mark S Fan allows following entities to bill medicare on his behalf.
Entity NameNorthbay Healthcare Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821147786
PECOS PAC ID: 0042122244
Enrollment ID: O20031105000409

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Entity NameNortheast Valley Health Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629079009
PECOS PAC ID: 3173517323
Enrollment ID: O20040412001067

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Entity NameObhg California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215258892
PECOS PAC ID: 8729276795
Enrollment ID: O20101217000826

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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. Dr Mark S Fan 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
Dr Mark S Fan, MD
Po Box 741,
Mercer Island, WA 98040-0741

Ph: () -
Dr Mark S Fan, MD
1515 116th Ave Ne Ste 205,
Bellevue, WA 98004-3811

Ph: (310) 866-3707

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Obstetrics & Gynecology Doctors in Bellevue, WA

Dr. Jill Rosetta Varni, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 9923 Lake Washington Blvd Ne, Bellevue, WA 98004
Phone: 425-505-2159    
Dr. Roberta Haynes De Regt, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1135 116th Ave Ne, Suite 320, Bellevue, WA 98004
Phone: 425-688-8111    
Dr. Sarah Linse Bienenfeld, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1231 116th Ave Ne Ste 950, Bellevue, WA 98004
Phone: 425-454-6674    Fax: 425-646-5198
Dr. Natalia Allison Dvorak, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1600 116th Ave Ne, #104, Bellevue, WA 98004
Phone: 323-857-3871    
Dr. Daniel Gavrila, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1135 116th Ave Ne, Suite #320, Bellevue, WA 98004
Phone: 425-688-8111    
Sara A Durkee, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 11511 Ne 10th St, Bellevue, WA 98004
Phone: 425-502-3000    

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