John Vidrih, MD is a medicare enrolled "Hospitalist" physician in Clearlake, California. He went to Medical College Of Wisconsin and graduated in 1996 and has 28 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Sound Physicians Of Hawaii Inc, Galen Inpatient Physicians Pc and his current practice location is
15630 18th Ave, Clearlake, California. You can reach out to his office (for appointments etc.) via phone at
(707) 994-6486.
John Vidrih is licensed to practice in New York (license number 332273) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063482842.
Physician's Profile
| Full Name | John Vidrih |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 28 Years |
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| Location | 15630 18th Ave, Clearlake, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- John Vidrih attended and graduated from Medical College Of Wisconsin in 1996
NPI Data:
- NPI Number: 1063482842
- Provider Enumeration Date: 01/25/2006
- Last Update Date: 09/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 2860478617
- Enrollment ID: I20130624000242
Medical Identifiers
Medical identifiers for John Vidrih such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063482842 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | C171245 (California) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | 160307 (Massachusetts) | Secondary |
| 208M00000X | Hospitalist | C171245 (California) | Secondary |
| 208M00000X | Hospitalist | 44001 (Arizona) | Secondary |
| 208M00000X | Hospitalist | 332273 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sound Physicians Of Hawaii Inc | 8628378973 | 20 |
| Galen Inpatient Physicians Pc | 3678464633 | 442 |
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. John Vidrih allows following entities to bill medicare on his behalf.
| Entity Name | Sound Physicians Of Hawaii Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740658053
PECOS PAC ID: 8628378973
Enrollment ID: O20151118002302 |
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| Entity Name | Hospitalist Medicine Physicians Of California Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184663965
PECOS PAC ID: 8426062027
Enrollment ID: O20181107001164 |
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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. John Vidrih 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 |
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John Vidrih, MD
2100 Powell St Ste 400,
Emeryville, CA 94608-1872
Ph: (510) 350-2600 | John Vidrih, MD
15630 18th Ave,
Clearlake, CA 95422-9336
Ph: (707) 994-6486 |
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