Mark Mihran Davidian, MD in Sacramento, CA - Medicare Interventional Radiology

Mark Mihran Davidian, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Sacramento, California. He went to Stanford University School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Forefront Radiology Medical Group Pc, Saint Agnes Medical Foundation, Sutter Valley Medical Foundation and his current practice location is 2801 K St, #502, Sacramento, California. You can reach out to his office (for appointments etc.) via phone at (877) 515-0053.

Mark Mihran Davidian is licensed to practice in California (license number G73533) 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 1518963578.

Contact Information

	Mark Mihran Davidian, MD
	2801 K St, #502, Sacramento, CA 95816-5120
	(877) 515-0053
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark Mihran Davidian
Gender	Male
Speciality	Interventional Radiology
Experience	34 Years
Location	2801 K St, Sacramento, 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 Mihran Davidian attended and graduated from Stanford University School Of Medicine in 1990

NPI Data:

NPI Number: 1518963578
Provider Enumeration Date: 06/23/2005
Last Update Date: 11/28/2023

Medicare PECOS Information:

PECOS PAC ID: 0244297794
Enrollment ID: I20041216000651

Medical Identifiers

Medical identifiers for Mark Mihran Davidian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518963578	NPI	-	NPPES
00G735330	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	G73533 (California)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	G73533 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Agnes Medical Center	Fresno, CA	Hospital
Sutter Auburn Faith Hospital	Auburn, CA	Hospital
Sutter Roseville Medical Center	Roseville, CA	Hospital
Sutter Medical Center, Sacramento	Sacramento, CA	Hospital
Sutter Davis Hospital	Davis, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Forefront Radiology Medical Group Pc	3971936857	25
Saint Agnes Medical Foundation	7618946369	146
Sutter Valley Medical Foundation	9830094515	1919

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 Mihran Davidian allows following entities to bill medicare on his behalf.

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

Entity Name	Lpch Medical Group Div Of Lucile
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

Entity Name	Sutter Valley Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335

Entity Name	Saint Agnes Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558819482 PECOS PAC ID: 7618946369 Enrollment ID: O20170125002669

Entity Name	Forefront Radiology Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689232449 PECOS PAC ID: 3971936857 Enrollment ID: O20191206001517

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 Mihran Davidian 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 Mihran Davidian, MD Po Box 678510, Dallas, TX 75267-8510 Ph: (559) 272-2934	Mark Mihran Davidian, MD 2801 K St, #502, Sacramento, CA 95816-5120 Ph: (877) 515-0053

Reviews and Comments

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Mark Mihran Davidian, MD - Medicare Interventional Radiology in Sacramento, CA