Mark R Beidelman, PSYD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" provider in Palo Alto, California. His current practice location is
725 Welch Rd, Palo Alto, California. You can reach out to his office (for appointments etc.) via phone at
(650) 497-8000.
Mark R Beidelman is licensed to practice in California (license number PSY25375) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194927855.
Healthcare Provider's Profile
Full Name | Mark R Beidelman |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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Location | 725 Welch Rd, Palo Alto, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1194927855
- Provider Enumeration Date: 06/04/2007
- Last Update Date: 04/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678714219
- Enrollment ID: I20130724000926
Medical Identifiers
Medical identifiers for Mark R Beidelman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194927855 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 25375 (California) | Secondary |
103TC0700X | Psychologist - Clinical | PSY25375 (California) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | PSY25375 (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. Mark R Beidelman allows following entities to bill medicare on his behalf.
Entity Name | Stanford Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
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Entity Name | Lpch Medical Group Div Of Lucile |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
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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. Mark R Beidelman 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 |
Mark R Beidelman, PSYD 725 Welch Rd, Palo Alto, CA 94304-1601 Ph: (650) 497-8000 | Mark R Beidelman, PSYD 725 Welch Rd, Palo Alto, CA 94304-1601 Ph: (650) 497-8000 |
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