Dr Jill Kathleen Pavliscak, MD in Half Moon Bay, CA

Dr Jill Kathleen Pavliscak, MD is a medicare enrolled "Family Medicine" physician in Half Moon Bay, California. She went to Oregon Health Sciences University School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Purisima Family Medicine, Inc. and her current practice location is 575 Kelly St, Half Moon Bay, California. You can reach out to her office (for appointments etc.) via phone at (650) 560-0216.

Dr Jill Kathleen Pavliscak is licensed to practice in California (license number A104908) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144258765.

Contact Information

	Dr Jill Kathleen Pavliscak, MD
	575 Kelly St, Half Moon Bay, CA 94019-1719
	(650) 560-0216
	(560) 295-0397

Map and Direction

Physician's Profile

Full Name	Dr Jill Kathleen Pavliscak
Gender	Female
Speciality	Family Practice
Experience	23 Years
Location	575 Kelly St, Half Moon Bay, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jill Kathleen Pavliscak attended and graduated from Oregon Health Sciences University School Of Medicine in 2001

NPI Data:

NPI Number: 1144258765
Provider Enumeration Date: 06/30/2006
Last Update Date: 06/13/2012

Medicare PECOS Information:

PECOS PAC ID: 8325003171
Enrollment ID: I20091110000367

Medical Identifiers

Medical identifiers for Dr Jill Kathleen Pavliscak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144258765	NPI	-	NPPES
3459501	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A104908 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Peninsula Medical Center	Burlingame, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Purisima Family Medicine, Inc.	6800942533	3

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 Jill Kathleen Pavliscak allows following entities to bill medicare on her behalf.

Entity Name	Purisima Family Medicine, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881821387 PECOS PAC ID: 6800942533 Enrollment ID: O20090922000738

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 Jill Kathleen Pavliscak 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 Jill Kathleen Pavliscak, MD 575 Kelly St, Half Moon Bay, CA 94019-1719 Ph: (650) 560-0216	Dr Jill Kathleen Pavliscak, MD 575 Kelly St, Half Moon Bay, CA 94019-1719 Ph: (650) 560-0216

Reviews and Comments

Family Medicine Doctors in Half Moon Bay, CA

Dr. Vanessa Marie Oppenlander, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 575 Kelly St, Half Moon Bay, CA 94019 Phone: 650-560-0216 Fax: 650-295-0397
Mrs. Josefina R Enriquez, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 890 Main St, Suite B, Half Moon Bay, CA 94019 Phone: 650-726-4223 Fax: 650-726-4934
Dr. Beth E Haynes, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 164 Miramontes Ave, Half Moon Bay, CA 94019 Phone: 650-726-8626 Fax: 650-726-8626
Dr. Lorraine R Page, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 225 Cabrillo Hwy S Ste 100a, Half Moon Bay, CA 94019 Phone: 650-712-7330 Fax: 650-726-9317
Dr. Daniel Eugene Mcmillan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 575 Kelly St, Half Moon Bay, CA 94019 Phone: 650-560-0216 Fax: 650-295-0397
Deborah B Penrose, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 725 Main Street, Half Moon Bay, CA 94019 Phone: 650-726-1200 Fax: 650-726-1235

Dr Jill Kathleen Pavliscak, MD - Medicare Family Practice in Half Moon Bay, CA