Elizaveta Shostakovich, MD in San Rafael, CA

Elizaveta Shostakovich, MD is a medicare enrolled "Hospitalist" physician in San Rafael, California. She graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Marin Hospitalist Medical Group, Inc. and her current practice location is 99 Montecillo Rd, San Rafael, California. You can reach out to her office (for appointments etc.) via phone at (415) 444-2000.

Elizaveta Shostakovich is licensed to practice in California (license number A93079) 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 1710037528.

Contact Information

	Elizaveta Shostakovich, MD
	99 Montecillo Rd, San Rafael, CA 94903-3308
	(415) 444-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Elizaveta Shostakovich
Gender	Female
Speciality	Internal Medicine
Experience	38 Years
Location	99 Montecillo Rd, San Rafael, 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:

Elizaveta Shostakovich graduated from medical school in 1986

NPI Data:

NPI Number: 1710037528
Provider Enumeration Date: 01/12/2007
Last Update Date: 09/25/2024

Medicare PECOS Information:

PECOS PAC ID: 7012011000
Enrollment ID: I20070330000597

Medical Identifiers

Medical identifiers for Elizaveta Shostakovich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710037528	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A93079 (California)	Secondary
208M00000X	Hospitalist	A93079 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Marinhealth Medical Center	Greenbrae, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Marin Hospitalist Medical Group, Inc.	1456257146	35

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. Elizaveta Shostakovich allows following entities to bill medicare on her 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

Entity Name	Marin Hospitalist Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023041753 PECOS PAC ID: 1456257146 Enrollment ID: O20031211001139

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. Elizaveta Shostakovich 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
Elizaveta Shostakovich, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Elizaveta Shostakovich, MD 99 Montecillo Rd, San Rafael, CA 94903-3308 Ph: (415) 444-2000

Reviews and Comments

Hospitalist Doctors in San Rafael, CA

Robert A. Lowell, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000
Stephen G. Mizroch, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000
Gregory S. Arent, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000
Renata M. Scott, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-4885
Jeffrey A. Lovold, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000
Siraphob Chansangavej, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-791-1329
Shideh N. Shadan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000

Elizaveta Shostakovich, MD - Medicare Internal Medicine in San Rafael, CA