Glutality Provider Group Of California Pc - Medicare Primary Care in Novato, CA

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Glutality Provider Group Of California Pc is a medicare enrolled primary clinic (Internal Medicine) in Novato, California. The current practice location for Glutality Provider Group Of California Pc is 7250 Redwood Blvd Ste 300, Novato, California. For appointments, you can reach them via phone at (561) 678-2026. The mailing address for Glutality Provider Group Of California Pc is 401 Fairway Dr Ste 200, Deerfield Beach, Florida and phone number is (561) 678-2026.

Glutality Provider Group Of California Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1235843723. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (561) 678-2026.

Contact Information

Glutality Provider Group Of California Pc
7250 Redwood Blvd Ste 300
Novato
CA 94945-3269
(561) 678-2026
(561) 423-9249

Map and Direction


Primary Care Clinic Profile

Full NameGlutality Provider Group Of California Pc
SpecialityInternal Medicine
Location7250 Redwood Blvd Ste 300, Novato, California
Authorized Official Name and PositionMark Mitchell (OWNER)
Authorized Official Contact5616782026
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Glutality Provider Group Of California Pc
401 Fairway Dr Ste 200
Deerfield Beach
FL 33441-1800

Ph: (561) 678-2026		Glutality Provider Group Of California Pc
7250 Redwood Blvd Ste 300
Novato
CA 94945-3269

Ph: (561) 678-2026

NPI Details:

NPI Number1235843723
Provider Enumeration Date01/09/2023
Last Update Date01/09/2023

Medicare PECOS Information:

Medicare PECOS PAC ID3870957046
Medicare Enrollment IDO20230907001074

Medical Identifiers

Medical identifiers for Glutality Provider Group Of California Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235843723NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Glutality Provider Group Of California Pc acts as a billing entity for following providers:
Provider NameMarcela Espinosa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508020819
PECOS PAC ID: 0345307351
Enrollment ID: I20090318000602
Provider NameAnshul M Gandhi
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1396177564
PECOS PAC ID: 4981832185
Enrollment ID: I20161003002050
Provider NamePranay Parikh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1124446786
PECOS PAC ID: 3971875352
Enrollment ID: I20170818002845
Provider NameJie Liu
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1780066472
PECOS PAC ID: 2264787878
Enrollment ID: I20180622002224
Provider NameNicholas A Raubitschek
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093101248
PECOS PAC ID: 6002122124
Enrollment ID: I20180911002459
Provider NameEllena Lois Boddie
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689673790
PECOS PAC ID: 0840399515
Enrollment ID: I20210420001712
Provider NameFatimah Omar Jah
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063513570
PECOS PAC ID: 6800876103
Enrollment ID: I20210429001049
Provider NameErik Deede
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1821036112
PECOS PAC ID: 5092889808
Enrollment ID: I20231115001967
Provider NameRobert Edward Hurd
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720015787
PECOS PAC ID: 4082895461
Enrollment ID: I20231127002134
Provider NameAjeet Dube
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1871703132
PECOS PAC ID: 8820140163
Enrollment ID: I20240304002043
Provider NameGarson K Lee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366504524
PECOS PAC ID: 8426049933
Enrollment ID: I20240520003269
Provider NamePraharsha Ravindranatha Menon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265693543
PECOS PAC ID: 7214194141
Enrollment ID: I20240531003181
Provider NameNancy Sharma
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1871703322
PECOS PAC ID: 2365699261
Enrollment ID: I20240703001879
Provider NameElena Antonia Morgan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649653197
PECOS PAC ID: 5193052090
Enrollment ID: I20240710001740
Provider NamePeter Hun Shin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639335060
PECOS PAC ID: 4981756665
Enrollment ID: I20240711002154

Reviews and Comments


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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.