Glutality Provider Group Of California Pc - Medicare Primary Care in Novato, CA

Glutality Provider Group Of California Pc is a medicare enrolled primary clinic (Internal Medicine) in Novato, California. The current practice location for Glutality Provider Group Of California Pc is 7250 Redwood Blvd Ste 300, Novato, California. For appointments, you can reach them via phone at (561) 678-2026. The mailing address for Glutality Provider Group Of California Pc is 401 Fairway Dr Ste 200, Deerfield Beach, Florida and phone number is (561) 678-2026.

Glutality Provider Group Of California Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1235843723. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (561) 678-2026.

Contact Information

Glutality Provider Group Of California Pc
7250 Redwood Blvd Ste 300
Novato
CA 94945-3269
(561) 678-2026
(561) 423-9249

Primary Care Clinic Profile

Full NameGlutality Provider Group Of California Pc
SpecialityInternal Medicine
Location7250 Redwood Blvd Ste 300, Novato, California
Authorized Official Name and PositionMark Mitchell (OWNER)
Authorized Official Contact5616782026
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Glutality Provider Group Of California Pc
401 Fairway Dr Ste 200
Deerfield Beach
FL 33441-1800

Ph: (561) 678-2026
Glutality Provider Group Of California Pc
7250 Redwood Blvd Ste 300
Novato
CA 94945-3269

Ph: (561) 678-2026

NPI Details:

NPI Number1235843723
Provider Enumeration Date01/09/2023
Last Update Date01/09/2023

Medicare PECOS Information:

Medicare PECOS PAC ID3870957046
Medicare Enrollment IDO20230907001074

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Medical Identifiers

Medical identifiers for Glutality Provider Group Of California Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235843723NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Glutality Provider Group Of California Pc acts as a billing entity for following providers:
Provider NameCorey Brown
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487944617
PECOS PAC ID: 8224281019
Enrollment ID: I20131112000462

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Provider NameAnshul M Gandhi
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1396177564
PECOS PAC ID: 4981832185
Enrollment ID: I20161003002050

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Provider NameNicholas A Raubitschek
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093101248
PECOS PAC ID: 6002122124
Enrollment ID: I20180911002459

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Provider NameEllena Lois Boddie
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689673790
PECOS PAC ID: 0840399515
Enrollment ID: I20210420001712

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Provider NameDaniel G Funsch
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1023471547
PECOS PAC ID: 2365789039
Enrollment ID: I20220714002140

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Provider NameMark Mitchell
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1003833633
PECOS PAC ID: 2264333632
Enrollment ID: I20231027001988

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Provider NameErik Deede
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1821036112
PECOS PAC ID: 5092889808
Enrollment ID: I20231115001967

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Provider NameRobert Edward Hurd
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720015787
PECOS PAC ID: 4082895461
Enrollment ID: I20231127002134

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Today the national food safety law firm of Ron Simon & Associates, along with local counsel Janet, Jenner & Suggs, filed a lawsuit stemming from salmonella-contaminated food served by the Tarheel Q located in North Carolina on U.S. 64 West in Lexington.

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› Verified 3 days ago

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Amarantus receives U.S. patent titled, 'Dopaminergic Neuronal Survival-Promoting Factors and Uses Thereof'

Amarantus BioSciences, Inc., a biotechnology company developing MANF, a first-in-class disease-modifying therapeutic protein, today announced U.S. Patent Number 8,084,425 has been issued for MANF entitled, Dopaminergic Neuronal Survival-Promoting Factors and Uses Thereof.

Proportion of substance abuse treatment admissions involving older Americans doubles: SAMHSA

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Today the national food safety law firm of Ron Simon & Associates, along with local counsel Janet, Jenner & Suggs, filed a lawsuit stemming from salmonella-contaminated food served by the Tarheel Q located in North Carolina on U.S. 64 West in Lexington.

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› Verified 3 days ago


Internal Medicine in Novato, CA

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