Konstantin G Zaharoff Jr, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Santa Rosa, California. His current practice location is
401 Bicentennial Way, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at
(707) 571-4000.
Konstantin G Zaharoff Jr is licensed to practice in California (license number G57749) 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 1932271780.
Physician's Profile
| Full Name | Konstantin G Zaharoff Jr |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 401 Bicentennial Way, Santa Rosa, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1932271780
- Provider Enumeration Date: 11/15/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8921037276
- Enrollment ID: I20050808000655
Medical Identifiers
Medical identifiers for Konstantin G Zaharoff Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932271780 | NPI | - | NPPES |
| 00G577490 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | G57749 (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. Konstantin G Zaharoff Jr allows following entities to bill medicare on his behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Konstantin G Zaharoff Jr 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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Konstantin G Zaharoff Jr, MD
1800 Harrison St Fl 7,
Oakland, CA 94612-3429
Ph: (510) 625-6262 | Konstantin G Zaharoff Jr, MD
401 Bicentennial Way,
Santa Rosa, CA 95403-2149
Ph: (707) 571-4000 |
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