Mark R Avon, MD is a medicare enrolled "Urology" physician in San Ramon, California. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 1985 and has 39 years of diverse experience with area of expertise as Urology. He is a member of the group practice John Muir Physician Network and his current practice location is
5201 Norris Canyon Rd Ste 210, San Ramon, California. You can reach out to his office (for appointments etc.) via phone at
(925) 830-1140.
Mark R Avon is licensed to practice in California (license number A43035) 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 1689711756.
Physician's Profile
| Full Name | Mark R Avon |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 39 Years |
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| Location | 5201 Norris Canyon Rd Ste 210, San Ramon, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mark R Avon attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1985
NPI Data:
- NPI Number: 1689711756
- Provider Enumeration Date: 01/30/2007
- Last Update Date: 08/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 4284779950
- Enrollment ID: I20101123000310
Medical Identifiers
Medical identifiers for Mark R Avon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689711756 | NPI | - | NPPES |
| A43035 | Other | CA | CA MEDICAL LICENSE |
| 00A430350 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | A43035 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| John Muir Physician Network | 6608789813 | 442 |
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 R Avon allows following entities to bill medicare on his behalf.
| Entity Name | John Muir Physician Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841407665
PECOS PAC ID: 6608789813
Enrollment ID: O20031226000143 |
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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 R Avon 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 |
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Mark R Avon, MD
1450 Treat Blvd # 300,
Walnut Creek, CA 94597-2168
Ph: (925) 952-2828 | Mark R Avon, MD
5201 Norris Canyon Rd Ste 210,
San Ramon, CA 94583-5405
Ph: (925) 830-1140 |
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