Dr Helene Marie Spivak, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Rohnert Park, California. Her current practice location is
5443 Snyder Ln, Rohnert Park, California. You can reach out to her office (for appointments etc.) via phone at
(707) 792-2229.
Dr Helene Marie Spivak is licensed to practice in California (license number G058849) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659397818.
Physician's Profile
Full Name | Dr Helene Marie Spivak |
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Gender | Female |
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Speciality | Obstetrics & Gynecology |
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Location | 5443 Snyder Ln, Rohnert Park, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659397818
- Provider Enumeration Date: 07/14/2006
- Last Update Date: 02/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 9638235625
- Enrollment ID: I20090226000344
Medical Identifiers
Medical identifiers for Dr Helene Marie Spivak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659397818 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | G058849 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Helene Marie Spivak allows following entities to bill medicare on her behalf.
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
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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. Dr Helene Marie Spivak 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 |
Dr Helene Marie Spivak, MD 5443 Snyder Ln, Rohnert Park, CA 94928-2925 Ph: (707) 792-2229 | Dr Helene Marie Spivak, MD 5443 Snyder Ln, Rohnert Park, CA 94928-2925 Ph: (707) 792-2229 |
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