Dr Mark S Fan, MD in Bellevue, WA - Medicare Obstetrics/gynecology

Dr Mark S Fan, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Bellevue, Washington. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Northeast Valley Health Corporation and his current practice location is 1515 116th Ave Ne Ste 205, Bellevue, Washington. You can reach out to his office (for appointments etc.) via phone at (310) 866-3707.

Dr Mark S Fan is licensed to practice in New York (license number NOT YET) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1164685632.

Contact Information

	Dr Mark S Fan, MD
	1515 116th Ave Ne Ste 205, Bellevue, WA 98004-3811
	(310) 866-3707
	(425) 999-4858

Map and Direction

Physician's Profile

Full Name	Dr Mark S Fan
Gender	Male
Speciality	Obstetrics/gynecology
Experience	18 Years
Location	1515 116th Ave Ne Ste 205, Bellevue, Washington
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mark S Fan graduated from medical school in 2006

NPI Data:

NPI Number: 1164685632
Provider Enumeration Date: 07/05/2008
Last Update Date: 02/03/2021

Medicare PECOS Information:

PECOS PAC ID: 0345373189
Enrollment ID: I20180703003241

Medical Identifiers

Medical identifiers for Dr Mark S Fan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164685632	NPI	-	NPPES
0264461	Other	WA	STATE L&I

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	MD60122545 (Washington)	Secondary
207V00000X	Obstetrics & Gynecology	A112478 (California)	Secondary
207V00000X	Obstetrics & Gynecology	NOT YET (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeast Valley Health Corporation	3173517323	65

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 Mark S Fan allows following entities to bill medicare on his behalf.

Entity Name	Northbay Healthcare Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821147786 PECOS PAC ID: 0042122244 Enrollment ID: O20031105000409

Entity Name	Northeast Valley Health Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629079009 PECOS PAC ID: 3173517323 Enrollment ID: O20040412001067

Entity Name	Obhg California Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215258892 PECOS PAC ID: 8729276795 Enrollment ID: O20101217000826

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 Mark S Fan 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 Mark S Fan, MD Po Box 741, Mercer Island, WA 98040-0741 Ph: () -	Dr Mark S Fan, MD 1515 116th Ave Ne Ste 205, Bellevue, WA 98004-3811 Ph: (310) 866-3707

Reviews and Comments

Obstetrics & Gynecology Doctors in Bellevue, WA

Dr. Jill Rosetta Varni, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 9923 Lake Washington Blvd Ne, Bellevue, WA 98004 Phone: 425-505-2159
Dr. Sarah Linse Bienenfeld, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1231 116th Ave Ne Ste 950, Bellevue, WA 98004 Phone: 425-454-6674 Fax: 425-646-5198
Dr. Natalia Allison Dvorak, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1600 116th Ave Ne, #104, Bellevue, WA 98004 Phone: 323-857-3871
Dr. Daniel Gavrila, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1135 116th Ave Ne, Suite #320, Bellevue, WA 98004 Phone: 425-688-8111
Sara A Durkee, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000
Pamela Lutz, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000

Dr Mark S Fan, MD - Medicare Obstetrics/gynecology in Bellevue, WA