Sandra C Paek, MD in San Jose, CA - Medicare Dermatology

Sandra C Paek, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in San Jose, California. Her current practice location is 260 International Cir, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 972-7000.

Sandra C Paek is licensed to practice in California (license number A95182) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679651160.

Contact Information

	Sandra C Paek, MD
	260 International Cir, San Jose, CA 95119-1130
	(408) 972-7000
	Not Available

Map and Direction

Physician's Profile

Full Name	Sandra C Paek
Gender	Female
Speciality	Dermatology - Mohs-micrographic Surgery
Location	260 International Cir, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679651160
Provider Enumeration Date: 11/01/2006
Last Update Date: 12/20/2021

Medicare PECOS Information:

PECOS PAC ID: 5698742682
Enrollment ID: I20070126000679

Medical Identifiers

Medical identifiers for Sandra C Paek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679651160	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0101X	Dermatology - Mohs-micrographic Surgery	A95182 (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. Sandra C Paek allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Sandra C Paek 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
Sandra C Paek, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Sandra C Paek, MD 260 International Cir, San Jose, CA 95119-1130 Ph: (408) 972-7000

Reviews and Comments

Dermatology Doctors in San Jose, CA

Dr. Livia Van, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 276 International Cir Fl 3, San Jose, CA 95119 Phone: 408-972-3590
Dr. Kathryn Joyce Martires, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1071 Blossom Hill Rd, San Jose, CA 95123 Phone: 650-934-7676
Dr. Mychael Luu, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2050 Clarmar Way, San Jose, CA 95128 Phone: 408-294-7551 Fax: 408-294-7201
Eric D. Starr, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000
Michele Wing-sze Mak-fung, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2420 Samaritan Dr, San Jose, CA 95124 Phone: 408-369-5600 Fax: 408-558-7949
Oloruntoyin Omoyeni Falola, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, San Jose, CA 95128 Phone: 408-885-5000
Kathryne Mooney, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000

Sandra C Paek, MD - Medicare Dermatology in San Jose, CA