Channel Medical Group Of California, P.c. - Medicare in Petaluma, CA

  1. Home
Channel Medical Group Of California, P.c. is a medicare enrolled "Internal Medicine - Rheumatology" provider in Petaluma, California. Their current practice location is 755 Baywood Dr Fl 2, Petaluma, California. You can reach out to their office (for appointments etc.) via phone at (646) 389-3451.

Channel Medical Group Of California, P.c. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Channel Medical Group Of California, P.c. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1366185118.

Contact Information

Channel Medical Group Of California, P.c.
755 Baywood Dr Fl 2,
Petaluma, CA 94954-5510
(646) 389-3451
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameChannel Medical Group Of California, P.c.
TypeFacility
SpecialityInternal Medicine - Rheumatology
Location755 Baywood Dr Fl 2, Petaluma, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366185118
  • Provider Enumeration Date: 04/19/2022
  • Last Update Date: 05/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9537539911
  • Enrollment ID: O20221229000296

Medical Identifiers

Medical identifiers for Channel Medical Group Of California, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366185118NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered (* (Not Available))Secondary
207RR0500XInternal Medicine - Rheumatology (* (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. Channel Medical Group Of California, P.c. acts as a billing entity for following providers:
Provider NameElizabeth Courtney Ortiz
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1407072192
PECOS PAC ID: 1557452604
Enrollment ID: I20070803000591
Provider NameSandra Monica Gonzalez
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1336863893
PECOS PAC ID: 8820468408
Enrollment ID: I20230119002775
Provider NameSheila N Behimehr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053969766
PECOS PAC ID: 1850621913
Enrollment ID: I20230510001250

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. Channel Medical Group Of California, P.c. 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
Channel Medical Group Of California, P.c.
4 E 27th St Unit 20206,
New York, NY 10001-9410

Ph: (646) 389-3451		Channel Medical Group Of California, P.c.
755 Baywood Dr Fl 2,
Petaluma, CA 94954-5510

Ph: (646) 389-3451

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.