Mark Todd Roback, DO is a medicare enrolled "General Practice" physician in Fortuna, California. His current practice location is
3304 Renner Dr, Fortuna, California. You can reach out to his office (for appointments etc.) via phone at
(707) 725-4477.
Mark Todd Roback is licensed to practice in California (license number 20A10324) 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 1801969829.
Physician's Profile
Full Name | Mark Todd Roback |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 3304 Renner Dr, Fortuna, 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. |
Medical Education and Training:
- Mark Todd Roback attended and graduated from in
NPI Data:
- NPI Number: 1801969829
- Provider Enumeration Date: 11/16/2006
- Last Update Date: 08/25/2014
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mark Todd Roback such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801969829 | NPI | - | NPPES |
7100028230 | Medicaid | KY | |
R1153 | Other | KY | TEMP LICENSE |
1801969829 | Other | CA | NPI |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | R1153 (Kentucky) | Secondary |
208D00000X | General Practice | 20A10324 (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 Todd Roback 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 Todd Roback, DO 670 9th Street, Suite 203, Arcata, CA 95521-6249 Ph: (707) 826-8633 | Mark Todd Roback, DO 3304 Renner Dr, Fortuna, CA 95540-7102 Ph: (707) 725-4477 |
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