Mark Carlton Rounsaville, MD is a
Radiology - Radiation Oncology physician based in Nicasio, California. Mark Carlton Rounsaville is licensed to practice in California (license number A39060) and his current practice location is 45 Los Pinos, Nicasio, California. He can be reached at his office (for appointments etc.) via phone at
(415) 662-2669.
NPI number for Mark Carlton Rounsaville is 1033100284 and his current mailing address is 45 Los Pinos, Nicasio, California. He
does not participate in medicare program and thus does not accept medicare assignments. 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 | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033100284
- Provider Enumeration Date: 11/04/2005
- Last Update Date: 05/17/2022
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 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
NOT enrolled with medicare and thus cannot 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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