Michael L Medvin, MD - Medicare Emergency Medicine in Santa Rosa, CA

Michael L Medvin, MD is a medicare enrolled "Emergency Medicine" physician in Santa Rosa, California. His current practice location is 1287 Fulton Rd, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 888-5808.

Michael L Medvin is licensed to practice in California (license number G67405) 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 1174572952.

Contact Information

Michael L Medvin, MD
1287 Fulton Rd,
Santa Rosa, CA 95401-4923
(707) 888-5808
(707) 577-8315



Physician's Profile

Full NameMichael L Medvin
GenderMale
SpecialityEmergency Medicine
Location1287 Fulton Rd, 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: 1174572952
  • Provider Enumeration Date: 05/09/2006
  • Last Update Date: 02/25/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 8022912906
  • Enrollment ID: I20031121000684

Medical Identifiers

Medical identifiers for Michael L Medvin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174572952NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine G67405 (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. Michael L Medvin allows following entities to bill medicare on his behalf.
Entity NamePacific Redwood Medical Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295924470
PECOS PAC ID: 6204913767
Enrollment ID: O20080408000421

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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. Michael L Medvin 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
Michael L Medvin, MD
122 Calistoga Rd. #343,
Santa Rosa, CA 95409

Ph: (707) 888-5808
Michael L Medvin, MD
1287 Fulton Rd,
Santa Rosa, CA 95401-4923

Ph: (707) 888-5808

News Archive

Novel oncology therapeutic evaluation in Biomerk Tumorgraft platform

Champions Biotechnology, Inc., a company engaged in the development of advanced preclinical platforms and tumor specific data to enhance the value of oncology drugs, has established yet another agreement with a large biotechnology company for the evaluation of a novel oncology therapeutic in Champions' Biomerk Tumorgraft(TM) platform.

Maverick immune cells can act independently to identify and kill cancer cells, finds research

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Read more News

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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
Daniel T Matulich, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1165 Montgomery Dr, Santa Rosa Memorial Hospital, Santa Rosa, CA 95405
Phone: 707-552-1573    
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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