Mark J Dulong, MD in Santa Clara, CA - Medicare Plastic Surgery

Mark J Dulong, MD is a medicare enrolled "Plastic Surgery" physician in Santa Clara, California. His current practice location is 710 Lawrence Expy, Santa Clara, California. You can reach out to his office (for appointments etc.) via phone at (408) 851-1000.

Mark J Dulong is licensed to practice in California (license number G62896) 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 1255405858.

Contact Information

	Mark J Dulong, MD
	710 Lawrence Expy, Santa Clara, CA 95051-5173
	(408) 851-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark J Dulong
Gender	Male
Speciality	Plastic Surgery
Location	710 Lawrence Expy, Santa Clara, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255405858
Provider Enumeration Date: 11/17/2006
Last Update Date: 12/17/2021

Medicare PECOS Information:

PECOS PAC ID: 8022154608
Enrollment ID: I20101213001211

Medical Identifiers

Medical identifiers for Mark J Dulong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255405858	NPI	-	NPPES
00G628960	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	G62896 (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 J Dulong allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 J Dulong 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 J Dulong, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Mark J Dulong, MD 710 Lawrence Expy, Santa Clara, CA 95051-5173 Ph: (408) 851-1000

Reviews and Comments

Plastic Surgery Doctors in Santa Clara, CA

Kristine Rustad, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy Dept 290, Santa Clara, CA 95051 Phone: 408-851-2000
James J. Orman, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000
Robert M. Menard, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000
Timothy Dan Santoro, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000

Mark J Dulong, MD - Medicare Plastic Surgery in Santa Clara, CA