Mark Ike Debruin, DO is a medicare enrolled "Family Medicine" physician in Orangevale, California. His current practice location is
9352 Madison Ave, Ste 1, Orangevale, California. You can reach out to his office (for appointments etc.) via phone at
(916) 989-2929.
Mark Ike Debruin is licensed to practice in California (license number 20A5579) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154327518.
Physician's Profile
| Full Name | Mark Ike Debruin |
|---|
| Gender | Male |
|---|
| Speciality | |
|---|
| Experience | Years |
|---|
| Location | 9352 Madison Ave, Orangevale, California |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mark Ike Debruin attended and graduated from in
NPI Data:
- NPI Number: 1154327518
- Provider Enumeration Date: 06/21/2005
- Last Update Date: 09/18/2012
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mark Ike Debruin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154327518 | NPI | - | NPPES |
| 00AX55790 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 20A5579 (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 Ike Debruin 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 Ike Debruin, DO
9352 Madison Ave, Ste 1,
Orangevale, CA 95662-4968
Ph: (916) 989-2929 | Mark Ike Debruin, DO
9352 Madison Ave, Ste 1,
Orangevale, CA 95662-4968
Ph: (916) 989-2929 |
Reviews and Comments