Mary Moreno, MD - Medicare Family Practice in Fairfield, CA

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Mary Moreno, MD is a medicare enrolled "Family Medicine" physician in Fairfield, California. She went to University Of Southern California Keck School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Permanente Medical Group Inc and her current practice location is 1200 B Gale Wilson Blvd, Fairfield, California. You can reach out to her office (for appointments etc.) via phone at (707) 646-5000.

Mary Moreno is licensed to practice in California (license number A126876) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033420252.

Contact Information

Mary Moreno, MD
1200 B Gale Wilson Blvd,
Fairfield, CA 94533-3552
(707) 646-5000
Not Available

Map and Direction




Physician's Profile

Full NameMary Moreno
GenderFemale
SpecialityFamily Practice
Experience14 Years
Location1200 B Gale Wilson Blvd, Fairfield, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary Moreno attended and graduated from University Of Southern California Keck School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1033420252
  • Provider Enumeration Date: 06/23/2010
  • Last Update Date: 12/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4486882057
  • Enrollment ID: I20140723001295

Medical Identifiers

Medical identifiers for Mary Moreno such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033420252NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine RT-2119 (New Hampshire)Secondary
207Q00000XFamily Medicine A126876 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Permanente Medical Group Inc89219102258376

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. Mary Moreno allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameMarin Hospitalist Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023041753
PECOS PAC ID: 1456257146
Enrollment ID: O20031211001139
Entity NameHospitalist Medicine Physicians Of California Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184663965
PECOS PAC ID: 8426062027
Enrollment ID: O20060202000956
Entity NameInpatient Specialists Of California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952792475
PECOS PAC ID: 3476864448
Enrollment ID: O20150617000915
Entity NameSuperior Hospitalist Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780047712
PECOS PAC ID: 1456650928
Enrollment ID: O20160504002343
Entity NameHospitalist Medicine Physicians Of California - Fairfield Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487132007
PECOS PAC ID: 3779836085
Enrollment ID: O20181101002925

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. Mary Moreno 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 AddressPractice Location Address
Mary Moreno, MD
2642 Harrison St,
Oakland, CA 94612-3814

Ph: (323) 313-2842		Mary Moreno, MD
1200 B Gale Wilson Blvd,
Fairfield, CA 94533-3552

Ph: (707) 646-5000

Reviews and Comments


Family Medicine Doctors in Fairfield, CA

Michael Balbin Santos, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 2720 Low Ct, Fairfield, CA 94534
Phone: 707-427-4900    Fax: 707-432-2533
Joel E Herness, M.D.
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Practice Location: 101 Bodin Cir, Fairfield, CA 94535
Phone: 707-423-3911    
Dr. Jordan Ann Keys, D.O.
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Practice Location: 2201 Courage Dr, Fairfield, CA 94533
Phone: 707-469-4640    
Johanna M Cardoza, MD
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Medicare: Medicare Enrolled
Practice Location: 1550 Gateway Blvd, Fairfield, CA 94533
Phone: 707-427-4000    
Dr. Melissa G. Pearce, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2201 Courage Dr, Fairfield, CA 94533
Phone: 707-784-2010    
Dr. Rebekah O Ayodele, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 1620 Pennsylvania Ave, Suite C, Fairfield, CA 94533
Phone: 707-428-4878    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.