Kelly A Bastoni, MD in Santa Rosa, CA - Medicare Internal Medicine

Kelly A Bastoni, MD is a medicare enrolled "Internal Medicine" physician in Santa Rosa, California. Her current practice location is 401 Bicentennial Way, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 571-4000.

Kelly A Bastoni is licensed to practice in California (license number A82473) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891869400.

Contact Information

	Kelly A Bastoni, MD
	401 Bicentennial Way, Santa Rosa, CA 95403-2149
	(707) 571-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Kelly A Bastoni
Gender	Female
Speciality	Internal Medicine
Location	401 Bicentennial Way, Santa Rosa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891869400
Provider Enumeration Date: 11/17/2006
Last Update Date: 12/22/2021

Medicare PECOS Information:

PECOS PAC ID: 1254239916
Enrollment ID: I20031219000610

Medical Identifiers

Medical identifiers for Kelly A Bastoni such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891869400	NPI	-	NPPES
00A824730	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A82473 (California)	Primary

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. Kelly A Bastoni 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

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. Kelly A Bastoni 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
Kelly A Bastoni, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Kelly A Bastoni, MD 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 571-4000

Reviews and Comments

Internal Medicine Doctors in Santa Rosa, CA

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Dr. Yulia Rivelis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3883 Airway Dr, Santa Rosa, CA 95403 Phone: 707-573-5458 Fax: 707-573-5458
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Suhana Elamsenthil, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000
Jarrod Paul Holmes, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3555 Round Barn Cir, Santa Rosa, CA 95403 Phone: 707-528-1050 Fax: 707-525-3874
Dr. James Andrew Driscoll, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 4001 Split Rail Ct, Santa Rosa, CA 95403 Phone: 512-459-6599
Dominic Joseph Picetti, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000

Kelly A Bastoni, MD - Medicare Internal Medicine in Santa Rosa, CA