Shadi Rashtak, MD in Vallejo, CA - Medicare Dermatology

Shadi Rashtak, MD is a medicare enrolled "Dermatology" physician in Vallejo, California. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Permanente Medical Group Inc and her current practice location is 975 Sereno Dr, Vallejo, California. You can reach out to her office (for appointments etc.) via phone at (707) 651-1000.

Shadi Rashtak is licensed to practice in California (license number A149698) 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 1053546416.

Contact Information

	Shadi Rashtak, MD
	975 Sereno Dr, Vallejo, CA 94589-2441
	(707) 651-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Shadi Rashtak
Gender	Female
Speciality	Dermatology
Experience	21 Years
Location	975 Sereno Dr, Vallejo, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shadi Rashtak graduated from medical school in 2003

NPI Data:

NPI Number: 1053546416
Provider Enumeration Date: 05/28/2009
Last Update Date: 02/02/2022

Medicare PECOS Information:

PECOS PAC ID: 1355513995
Enrollment ID: I20171215001604

Medical Identifiers

Medical identifiers for Shadi Rashtak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053546416	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	47222 (Kentucky)	Secondary
207N00000X	Dermatology	54232 (Minnesota)	Secondary
207N00000X	Dermatology	V149698 (California)	Secondary
207N00000X	Dermatology	35123652 (Ohio)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207N00000X	Dermatology	A149698 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8376

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. Shadi Rashtak 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. Shadi Rashtak 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
Shadi Rashtak, MD 68 Cavalier Blvd, Florence, KY 41042-1645 Ph: (513) 475-7630	Shadi Rashtak, MD 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-1000

Reviews and Comments

Dermatology Doctors in Vallejo, CA

John Kevin Geisse, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2290 Sacramento St, Vallejo, CA 94590 Phone: 707-643-5785 Fax: 707-643-8810
Dr. Monica A Lawry, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Eileen Crowley, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Serena Mraz, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2290 Sacramento St, Vallejo, CA 94590 Phone: 707-643-5785 Fax: 707-643-8810
Robin St. Clair Gray, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Paradi Mirmirani, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000

Shadi Rashtak, MD - Medicare Dermatology in Vallejo, CA