Manda Julieanne Notzon, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Pinole, California. Her current practice location is
1301 Pinole Valley Rd, Women's Health, Pinole, California. You can reach out to her office (for appointments etc.) via phone at
(510) 243-4412.
Manda Julieanne Notzon is licensed to practice in California (license number 143383) 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 1295000453.
Physician's Profile
Full Name | Manda Julieanne Notzon |
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Gender | Female |
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Speciality | Obstetrics & Gynecology |
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Location | 1301 Pinole Valley Rd, Pinole, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1295000453
- Provider Enumeration Date: 03/20/2012
- Last Update Date: 12/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 6800184136
- Enrollment ID: I20161019001108
Medical Identifiers
Medical identifiers for Manda Julieanne Notzon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295000453 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 143383 (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. Manda Julieanne Notzon allows following entities to bill medicare on her 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. Manda Julieanne Notzon 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 |
Manda Julieanne Notzon, MD 1301 Pinole Valley Rd, Women's Health, Pinole, CA 94564-1384 Ph: (510) 243-4412 | Manda Julieanne Notzon, MD 1301 Pinole Valley Rd, Women's Health, Pinole, CA 94564-1384 Ph: (510) 243-4412 |
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