Mark Carlton Rounsaville, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Nicasio, California. His current practice location is
45 Los Pinos, Nicasio, California. You can reach out to his office (for appointments etc.) via phone at
(415) 662-2669.
Mark Carlton Rounsaville is licensed to practice in California (license number A39060) 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 1033100284.
Physician's Profile
Full Name | Mark Carlton Rounsaville |
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Gender | Male |
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Speciality | Radiology - Radiation Oncology |
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Location | 45 Los Pinos, Nicasio, 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: 1033100284
- Provider Enumeration Date: 11/04/2005
- Last Update Date: 05/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 7416020789
- Enrollment ID: I20080718000644
Medical Identifiers
Medical identifiers for Mark Carlton Rounsaville such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033100284 | NPI | - | NPPES |
00A390600 | Other | CA | BLUE SHIELD |
00A390600 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0001X | Radiology - Radiation Oncology | A39060 (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. Mark Carlton Rounsaville allows following entities to bill medicare on his behalf.
Entity Name | Northern California Radiation Therapists & Oncologists Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720069891 PECOS PAC ID: 9638124977 Enrollment ID: O20050318000677 |
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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. Mark Carlton Rounsaville 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 |
Mark Carlton Rounsaville, MD 45 Los Pinos, Nicasio, CA 94946 Ph: (415) 662-2669 | Mark Carlton Rounsaville, MD 45 Los Pinos, Nicasio, CA 94946 Ph: (415) 662-2669 |
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