Charles A Amezcua, MD in Santa Rosa, CA

Charles A Amezcua, MD is a medicare enrolled "Pathology - Anatomic Pathology" physician in Santa Rosa, California. He went to University Of Southern California Keck School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 401 Bicentennial Way, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 571-4686.

Charles A Amezcua is licensed to practice in California (license number G81183) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245373992.

Contact Information

	Charles A Amezcua, MD
	401 Bicentennial Way, Santa Rosa, CA 95403-2149
	(707) 571-4686
	Not Available

Map and Direction

Physician's Profile

Full Name	Charles A Amezcua
Gender	Male
Speciality	Pathology
Experience	31 Years
Location	401 Bicentennial Way, Santa Rosa, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charles A Amezcua attended and graduated from University Of Southern California Keck School Of Medicine in 1993

NPI Data:

NPI Number: 1245373992
Provider Enumeration Date: 02/14/2007
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 7618071416
Enrollment ID: I20070404000346

Medical Identifiers

Medical identifiers for Charles A Amezcua such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245373992	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0101X	Pathology - Anatomic Pathology	G81183 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8376

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. Charles A Amezcua allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Charles A Amezcua 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 Address	Practice Location Address
Charles A Amezcua, MD 2800 Saint Paul Dr, Apt. 241, Santa Rosa, CA 95405-8542 Ph: (707) 528-1980	Charles A Amezcua, MD 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 571-4686

Reviews and Comments

Pathology Doctors in Santa Rosa, CA

John F. Kunkel, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
John Wolfe, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1165 Montgomery Dr, Pathology Dept, Santa Rosa, CA 95405 Phone: 209-575-4575 Fax: 209-575-4598
Dr. Joseph Stephen Wand, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3715 Nielsen Rd, Santa Rosa, CA 95404 Phone: 707-527-7968
Robert J. Risdall, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
Tiffany A. Camarillo, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
Mark Demeo, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1165 Montgomery Dr, Pathology Dept, Santa Rosa, CA 95405 Phone: 209-575-4575 Fax: 209-575-4598

Charles A Amezcua, MD - Medicare Pathology in Santa Rosa, CA