Jack Waxman, MD - Medicare Internal Medicine in Santa Rosa, CA

Jack Waxman, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Santa Rosa, California. His current practice location is 4015 Quartz Dr, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 481-7215.

Jack Waxman is licensed to practice in California (license number G23398) 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 1104824994.

Contact Information

Jack Waxman, MD
4015 Quartz Dr,
Santa Rosa, CA 95405-5580
(707) 481-7215
Not Available

Map and Direction




Physician's Profile

Full NameJack Waxman
GenderMale
SpecialityInternal Medicine - Rheumatology
Location4015 Quartz Dr, Santa Rosa, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104824994
  • Provider Enumeration Date: 07/14/2005
  • Last Update Date: 03/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8921179516
  • Enrollment ID: I20080625000765

Medical Identifiers

Medical identifiers for Jack Waxman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104824994NPI-NPPES
660002485OtherCARAILROAD MEDICARE
00G233980MedicaidCA
00G233980OtherCABLUE SHIELD OF CALIFORNIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RR0500XInternal Medicine - Rheumatology G23398 (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. Jack Waxman 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 AddressPractice Location Address
Jack Waxman, MD
4015 Quartz Dr,
Santa Rosa, CA 95405-5580

Ph: (707) 481-7215
Jack Waxman, MD
4015 Quartz Dr,
Santa Rosa, CA 95405-5580

Ph: (707) 481-7215

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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