Marcelle Mahan, MD is a medicare enrolled "General Practice" physician in Eureka, California. She went to Loma Linda University School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Providence Medical Foundation and her current practice location is
2700 Dolbeer St, Eureka, California. You can reach out to her office (for appointments etc.) via phone at
(707) 269-4250.
Marcelle Mahan is licensed to practice in California (license number G078160) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245292085.
Physician's Profile
Full Name | Marcelle Mahan |
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Gender | Female |
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Speciality | Family Practice |
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Experience | 34 Years |
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Location | 2700 Dolbeer St, Eureka, California |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Marcelle Mahan attended and graduated from Loma Linda University School Of Medicine in 1990
NPI Data:
- NPI Number: 1245292085
- Provider Enumeration Date: 04/05/2006
- Last Update Date: 03/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 6608824453
- Enrollment ID: I20050107000577
Medical Identifiers
Medical identifiers for Marcelle Mahan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245292085 | NPI | - | NPPES |
00G718600 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | G71860 (California) | Secondary |
208D00000X | General Practice | G078160 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Providence Medical Foundation | 8921993205 | 1312 |
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. Marcelle Mahan allows following entities to bill medicare on her behalf.
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
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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. Marcelle Mahan 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 |
Marcelle Mahan, MD Po Box 2717, Mckinleyville, CA 95519-2717 Ph: (707) 499-8781 | Marcelle Mahan, MD 2700 Dolbeer St, Eureka, CA 95501-4736 Ph: (707) 269-4250 |
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