Dr Mark William Faryan, DO is a medicare enrolled "Family Medicine" physician in Sutter Creek, California. His current practice location is
431 Sutter Hill Rd, Sutter Creek, California. You can reach out to his office (for appointments etc.) via phone at
(209) 267-1011.
Dr Mark William Faryan is licensed to practice in California (license number 20A5644) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477663870.
Physician's Profile
Full Name | Dr Mark William Faryan |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 431 Sutter Hill Rd, Sutter Creek, 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: 1477663870
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 02/21/2012
Medicare PECOS Information:
- PECOS PAC ID: 1557465572
- Enrollment ID: I20160705002207
Medical Identifiers
Medical identifiers for Dr Mark William Faryan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477663870 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 20A5644 (California) | Primary |
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 William Faryan 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 William Faryan, DO 20118 Neilson Rd, Pine Grove, CA 95665-9681 Ph: (209) 267-1011 | Dr Mark William Faryan, DO 431 Sutter Hill Rd, Sutter Creek, CA 95685-4147 Ph: (209) 267-1011 |
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