Kelly Pfeifer, MD in Petaluma, CA - Medicare Family Medicine

Kelly Pfeifer, MD is a medicare enrolled "Family Medicine" physician in Petaluma, California. Her current practice location is 1301 Southpoint Blvd, Petaluma, California. You can reach out to her office (for appointments etc.) via phone at (707) 559-7500.

Kelly Pfeifer is licensed to practice in California (license number A66577) 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 1083606776.

Contact Information

	Kelly Pfeifer, MD
	1301 Southpoint Blvd, Petaluma, CA 94954-6858
	(707) 559-7500
	(707) 559-7570

Map and Direction

Physician's Profile

Full Name	Kelly Pfeifer
Gender	Female
Speciality	Family Medicine
Location	1301 Southpoint Blvd, Petaluma, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083606776
Provider Enumeration Date: 08/18/2005
Last Update Date: 12/17/2007

Medicare PECOS Information:

PECOS PAC ID: 7618922477
Enrollment ID: I20050315000663

Medical Identifiers

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

Identifier	Type	State	Issuer
1083606776	NPI	-	NPPES
HAP70696F	Medicaid	CA
ZZZ18742Z	Other	CA	ISSUER MEDICARE
FHC70696F	Medicaid	CA
A66577	Other	CA	LICENSE
BCP70696F	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A66577 (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 Pfeifer allows following entities to bill medicare on her behalf.

Entity Name	University Of California Sfgh Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366417420 PECOS PAC ID: 5496668410 Enrollment ID: O20031112000551

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 Pfeifer 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 Pfeifer, MD 1301 Southpoint Blvd, Petaluma, CA 94954-6858 Ph: (707) 559-7500	Kelly Pfeifer, MD 1301 Southpoint Blvd, Petaluma, CA 94954-6858 Ph: (707) 559-7500

Reviews and Comments

Family Medicine Doctors in Petaluma, CA

Daniel G White, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3900
Dr. Lana Ngoc Nguyen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3835 Cypress Dr, Suite 102, Petaluma, CA 94954 Phone: 707-765-2425 Fax: 707-765-3974
Dr. Aleksey Zakinov, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3960
Dr. Andrew Burns Ashcroft, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 Fax: 707-559-7510
Audra Lehman, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1301 Southpoint Blvd, Petaluma, CA 94954 Phone: 707-559-7500 Fax: 707-559-7570
Dr. Lisa Feth Pearson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 Fax: 707-559-7620

Kelly Pfeifer, MD - Medicare Family Medicine in Petaluma, CA