Marin Gastroenterology - Medicare Primary Care in Corte Madera, CA

Marin Gastroenterology is a medicare enrolled primary clinic (Pathology - Clinical Pathology/laboratory Medicine) in Corte Madera, California. The current practice location for Marin Gastroenterology is 200 Tamal Plz Ste 200, Corte Madera, California. For appointments, you can reach them via phone at (415) 925-6900. The mailing address for Marin Gastroenterology is 200 Tamal Plz Ste 200, Corte Madera, California and phone number is (415) 925-6900.

Marin Gastroenterology is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1730125758. 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) 925-6900.

Contact Information

Marin Gastroenterology
200 Tamal Plz Ste 200
Corte Madera
CA 94925-1196
(415) 925-6900
(415) 925-6900

Primary Care Clinic Profile

Full NameMarin Gastroenterology
SpecialityPathology
Location200 Tamal Plz Ste 200, Corte Madera, California
Authorized Official Name and PositionTimothy Sowerby (MANAGING PARTNER)
Authorized Official Contact4159256900
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Marin Gastroenterology
200 Tamal Plz Ste 200
Corte Madera
CA 94925-1196

Ph: (415) 925-6900
Marin Gastroenterology
200 Tamal Plz Ste 200
Corte Madera
CA 94925-1196

Ph: (415) 925-6900

NPI Details:

NPI Number1730125758
Provider Enumeration Date06/20/2006
Last Update Date03/14/2022

Medicare PECOS Information:

Medicare PECOS PAC ID9830131580
Medicare Enrollment IDO20050524000401

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Medical Identifiers

Medical identifiers for Marin Gastroenterology such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730125758NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Secondary
207ZP0105XPathology - Clinical Pathology/laboratory 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. Marin Gastroenterology acts as a billing entity for following providers:
Provider NameKedar Che Prasad
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1841308558
PECOS PAC ID: 0840191375
Enrollment ID: I20040117000176

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Provider NameImok Cha
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1619085263
PECOS PAC ID: 6709865470
Enrollment ID: I20040715001402

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Provider NameNatalie C Lee
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1447371505
PECOS PAC ID: 3375512734
Enrollment ID: I20041001000359

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Provider NameTimothy M Sowerby
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1063475952
PECOS PAC ID: 4082658323
Enrollment ID: I20050616000927

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Provider NameVikram Malladi
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1902814015
PECOS PAC ID: 5294833026
Enrollment ID: I20080919000443

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Provider NameFrederick J Kretzschmar
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1245348861
PECOS PAC ID: 5294828521
Enrollment ID: I20081211000835

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Provider NameJohn Bettinger
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1225037500
PECOS PAC ID: 7012013881
Enrollment ID: I20090713000064

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Provider NameRipple Sharma
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1205003167
PECOS PAC ID: 9638202138
Enrollment ID: I20100804000928

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Provider NameAmy J Holm
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407192438
PECOS PAC ID: 4981849262
Enrollment ID: I20130315000176

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Provider NameWendy Z Davis
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1336293653
PECOS PAC ID: 1254346067
Enrollment ID: I20131031000113

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Provider NameChristopher J Kim
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1356607121
PECOS PAC ID: 8628369527
Enrollment ID: I20160623002480

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Provider NameChristopher M Hogan
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1376867010
PECOS PAC ID: 6901114826
Enrollment ID: I20160726003155

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Provider NameNatalya Hakim
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1144682444
PECOS PAC ID: 0446526115
Enrollment ID: I20210215001670

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› Verified 9 days ago


Pathology in Corte Madera, CA

Azita Taghavy - A Professional Corp
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 21 Tamal Vista Blvd Ste 110, Corte Madera, CA 94925
Phone: 415-924-5010    Fax: 415-924-5210
Dr Nadine's Bodymoves Chiropractic Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 45 San Clemente Dr Ste B220, Corte Madera, CA 94925
Phone: 415-295-6087    Fax: 510-284-3661
William J Mcallister Jr Md A Professional Corporation
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 21 Tamal Vista Blvd Ste 110, Corte Madera, CA 94925
Phone: 415-924-5010    Fax: 415-924-5210

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