Mark Rollo Halverson, MD in Palo Alto, CA

Mark Rollo Halverson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Palo Alto, California. His current practice location is 725 Welch Rd, Palo Alto, California. You can reach out to his office (for appointments etc.) via phone at (650) 497-8000.

Mark Rollo Halverson is licensed to practice in California (license number C195815) 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 1619175890.

Contact Information

	Mark Rollo Halverson, MD
	725 Welch Rd, Palo Alto, CA 94304-1601
	(650) 497-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark Rollo Halverson
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	725 Welch Rd, Palo Alto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619175890
Provider Enumeration Date: 07/10/2007
Last Update Date: 08/13/2024

Medicare PECOS Information:

PECOS PAC ID: 5496979965
Enrollment ID: I20160523000600

Medical Identifiers

Medical identifiers for Mark Rollo Halverson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619175890	NPI	-	NPPES
121715004	Medicaid	TX
121715008	Medicaid	TX
285250104	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085N0700X	Radiology - Neuroradiology	C195815 (California)	Secondary
2085P0229X	Radiology - Pediatric Radiology	MD445798 (Pennsylvania)	Secondary
2085P0229X	Radiology - Pediatric Radiology	P8785 (Texas)	Secondary
2085P0229X	Radiology - Pediatric Radiology	C195815 (California)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	C195815 (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 Rollo Halverson allows following entities to bill medicare on his behalf.

Entity Name	Children's Radiological Institute, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508895608 PECOS PAC ID: 8921068149 Enrollment ID: O20041012001630

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 Rollo Halverson 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 Rollo Halverson, MD 725 Welch Rd, Palo Alto, CA 94304-1601 Ph: (650) 497-8000	Mark Rollo Halverson, MD 725 Welch Rd, Palo Alto, CA 94304-1601 Ph: (650) 497-8000

Reviews and Comments

Radiology Doctors in Palo Alto, CA

Praveen Jayapal, MD Radiology Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000
Dr. Matilde Nino-murcia, M. D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3801 Miranda Ave, Palo Alto, CA 94304 Phone: 650-493-5000
Kristen Woojeong Yeom, MD Radiology Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000
Dr. Gregory Brandt Louie, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr # H1307, Dept Of Radiology, Palo Alto, CA 94305 Phone: 650-723-6661
Yueyang Guo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000
Thomas Floyd Osborne, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3801 Miranda Ave, Palo Alto, CA 94304 Phone: 650-493-5000
Dr. Neil Hemant Thakur, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Department Of Radiology, Palo Alto, CA 94305 Phone: 913-940-5344

Mark Rollo Halverson, MD - Medicare Radiology in Palo Alto, CA