Dr Mark John Nizibian, DDS - Medicare Dentist in Petaluma, CA

Dr Mark John Nizibian, DDS is a medicare enrolled "Dentist" provider in Petaluma, California. His current practice location is 1122 B St, Petaluma, California. You can reach out to his office (for appointments etc.) via phone at (707) 763-1688.

Dr Mark John Nizibian is licensed to practice in California (license number DA 034394) 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 1023386638.

Contact Information

Dr Mark John Nizibian, DDS
1122 B St,
Petaluma, CA 94952-4055
(707) 763-1688
(707) 763-5152

Map and Direction




Healthcare Provider's Profile

Full NameDr Mark John Nizibian
GenderMale
SpecialityDentist
Location1122 B St, Petaluma, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023386638
  • Provider Enumeration Date: 12/09/2011
  • Last Update Date: 12/09/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 6608175526
  • Enrollment ID: I20160427002343

Medical Identifiers

Medical identifiers for Dr Mark John Nizibian such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023386638NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist DA 034394 (California)Primary

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. Dr Mark John Nizibian 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 AddressPractice Location Address
Dr Mark John Nizibian, DDS
1122 B St,
Petaluma, CA 94952-4055

Ph: (707) 763-1688
Dr Mark John Nizibian, DDS
1122 B St,
Petaluma, CA 94952-4055

Ph: (707) 763-1688

Reviews and Comments


Dentist in Petaluma, CA

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Dr. Thomas Randall Szutz, D.D.S.
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Phone: 707-789-9600    Fax: 707-789-9549
Dr. Stephen H Nagle,
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Practice Location: 511 Hayes Ln, Petaluma, CA 94952
Phone: 707-763-2654    Fax: 707-763-3141
Dr. Martin Richard Steigner, D.D.S.
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Phone: 707-763-1548    Fax: 707-763-6942
Dr. Mark Roper, DDS
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Practice Location: 3835 Cypress Dr, Suite 203, Petaluma, CA 94954
Phone: 707-766-7668    Fax: 415-382-1520

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.