Mary Rosalie Pena-pridmore, MD - Medicare Family Practice in Live Oak, CA

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Mary Rosalie Pena-pridmore, MD is a medicare enrolled "Family Medicine" physician in Live Oak, California. She graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Ampla Health and her current practice location is 9980 Live Oak Blvd, Live Oak, California. You can reach out to her office (for appointments etc.) via phone at (530) 749-3242.

Mary Rosalie Pena-pridmore is licensed to practice in California (license number C51623) 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 1336240837.

Contact Information

Mary Rosalie Pena-pridmore, MD
9980 Live Oak Blvd,
Live Oak, CA 95953-2334
(530) 749-3242
(530) 749-3248

Map and Direction




Physician's Profile

Full NameMary Rosalie Pena-pridmore
GenderFemale
SpecialityFamily Practice
Experience36 Years
Location9980 Live Oak Blvd, Live Oak, 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 Rosalie Pena-pridmore graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1336240837
  • Provider Enumeration Date: 09/26/2006
  • Last Update Date: 11/06/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6103881933
  • Enrollment ID: I20081014000152

Medical Identifiers

Medical identifiers for Mary Rosalie Pena-pridmore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336240837NPI-NPPES
EXE70043FMedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 51623 (California)Secondary
207Q00000XFamily Medicine C51623 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Oroville HospitalOroville, CAHospital
Adventist Health And RideoutMarysville, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ampla Health509261927062

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 Rosalie Pena-pridmore allows following entities to bill medicare on her behalf.
Entity NameAmpla Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952333635
PECOS PAC ID: 5092619270
Enrollment ID: O20040225001116
Entity NamePeach Tree Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003863622
PECOS PAC ID: 7416978440
Enrollment ID: O20101104000566

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 Rosalie Pena-pridmore 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 Rosalie Pena-pridmore, MD
1114 Yuba St Rm 144,
Marysville, CA 95901-4838

Ph: (530) 749-3242		Mary Rosalie Pena-pridmore, MD
9980 Live Oak Blvd,
Live Oak, CA 95953-2334

Ph: (530) 749-3242

Reviews and Comments


Family Medicine Doctors in Live Oak, CA

Camille L Mundh, FNP-C
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 9792 Live Oak Blvd Ste E, Live Oak, CA 95953
Phone: 530-701-3131    
Dr. Sachin S Singh, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9000 Larkin Rd, Live Oak, CA 95953
Phone: 310-213-6256    

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.