Marin Advanced Wound Center Pc - Medicare Primary Care in Novato, CA

Marin Advanced Wound Center Pc is a medicare enrolled primary clinic (Clinic/center) in Novato, California. The current practice location for Marin Advanced Wound Center Pc is 165 Rowland Way Ste 208, Novato, California. For appointments, you can reach them via phone at (415) 680-0871. The mailing address for Marin Advanced Wound Center Pc is 165 Rowland Way Ste 208, Novato, California and phone number is (415) 680-0871.

Marin Advanced Wound Center Pc is licensed to practice in California (license number G59522). The clinic also participates in the medicare program and its NPI number is 1538652003. 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 (415) 680-0871.

Contact Information

Marin Advanced Wound Center Pc
165 Rowland Way Ste 208
Novato
CA 94945-5055
(415) 680-0871
(800) 808-1779

Primary Care Clinic Profile

Full NameMarin Advanced Wound Center Pc
SpecialityClinic/Center
Location165 Rowland Way Ste 208, Novato, California
Authorized Official Name and PositionAlexander Reyzelman (AUTHORIZED OFFICIAL)
Authorized Official Contact9253366062
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Marin Advanced Wound Center Pc
165 Rowland Way Ste 208
Novato
CA 94945-5055

Ph: (415) 680-0871
Marin Advanced Wound Center Pc
165 Rowland Way Ste 208
Novato
CA 94945-5055

Ph: (415) 680-0871

NPI Details:

NPI Number1538652003
Provider Enumeration Date06/10/2018
Last Update Date12/17/2019

Medicare PECOS Information:

Medicare PECOS PAC ID9537419346
Medicare Enrollment IDO20180828004232

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Medical Identifiers

Medical identifiers for Marin Advanced Wound Center Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538652003NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center G59522 (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. Marin Advanced Wound Center Pc acts as a billing entity for following providers:
Provider NameAlexander M Reyzelman
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1023192721
PECOS PAC ID: 9335228675
Enrollment ID: I20080512000367

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Provider NameMher Vartivarian
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1801117874
PECOS PAC ID: 8729234794
Enrollment ID: I20120807000237

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Provider NameAnthony K Gordon
Provider TypePractitioner - Other (physician)
Provider IdentifiersNPI Number: 1912968041
PECOS PAC ID: 1759362908
Enrollment ID: I20180604002881

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