Wanda J Blaylark, MD in Woodland, CA - Medicare Preventive Medicine

Wanda J Blaylark, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Woodland, California. Her current practice location is 632 W Gibson Rd, Woodland, California. You can reach out to her office (for appointments etc.) via phone at (530) 668-2600.

Wanda J Blaylark is licensed to practice in California (license number A48420) 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 1235198789.

Contact Information

	Wanda J Blaylark, MD
	632 W Gibson Rd, Woodland, CA 95695-5169
	(530) 668-2600
	(530) 669-5339

Map and Direction

Physician's Profile

Full Name	Wanda J Blaylark
Gender	Female
Speciality	Preventive Medicine - Occupational Medicine
Location	632 W Gibson Rd, Woodland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235198789
Provider Enumeration Date: 03/22/2006
Last Update Date: 08/07/2020

Medicare PECOS Information:

PECOS PAC ID: 4789980897
Enrollment ID: I20160315001848

Medical Identifiers

Medical identifiers for Wanda J Blaylark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235198789	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083X0100X	Preventive Medicine - Occupational Medicine	A48420 (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. Wanda J Blaylark allows following entities to bill medicare on her behalf.

Entity Name	Dignity Health Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709

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. Wanda J Blaylark 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
Wanda J Blaylark, MD 3400 Data Dr, Attn Credentialing/payer Enrollment, Rancho Cordova, CA 95670-7956 Ph: () -	Wanda J Blaylark, MD 632 W Gibson Rd, Woodland, CA 95695-5169 Ph: (530) 668-2600

Reviews and Comments

Preventive Medicine Doctors in Woodland, CA

Dr. Sammy Jafar Almashat, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 632 W Gibson Rd, Woodland, CA 95695 Phone: 530-668-2600 Fax: 530-669-5339
Dr. Aimee Christine Sisson, MD, MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 137 N. Cottonwood St, Woodland, CA 95695 Phone: 530-666-8765
Mr. John Cornelius Forsyth, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 2081 Bronze Star Dr, Woodland, CA 95776 Phone: 530-668-2600 Fax: 530-669-5339

Wanda J Blaylark, MD - Medicare Preventive Medicine in Woodland, CA