Jacqueline Rae Skvaril, MD in Santa Rosa, CA

Jacqueline Rae Skvaril, MD is a medicare enrolled "Internal Medicine" physician in Santa Rosa, California. She went to Wake Forest University School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Providence Medical Foundation and her current practice location is 3536 Mendocino Ave, Ste 300, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 544-3411.

Jacqueline Rae Skvaril is licensed to practice in California (license number G66776) 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 1497748768.

Contact Information

	Jacqueline Rae Skvaril, MD
	3536 Mendocino Ave, Ste 300, Santa Rosa, CA 95403-3634
	(707) 544-3411
	(707) 544-0834

Map and Direction

Physician's Profile

Full Name	Jacqueline Rae Skvaril
Gender	Female
Speciality	Internal Medicine
Experience	36 Years
Location	3536 Mendocino Ave, Santa Rosa, 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:

Jacqueline Rae Skvaril attended and graduated from Wake Forest University School Of Medicine in 1988

NPI Data:

NPI Number: 1497748768
Provider Enumeration Date: 08/23/2005
Last Update Date: 11/10/2021

Medicare PECOS Information:

PECOS PAC ID: 0042302317
Enrollment ID: I20070816000807

Medical Identifiers

Medical identifiers for Jacqueline Rae Skvaril such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497748768	NPI	-	NPPES
00G667760	Medicaid	CA
P00410333	Other	CA	RAILROAD MEDICARE
00G667760	Other	CA	BLUE SHIELD OF CALIFORNIA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	G66776 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Santa Rosa Memorial Hospital	Santa rosa, CA	Hospital
Healdsburg District Hospital	Healdsburg, CA	Hospital
California Pacific Medical Ctr-davies Campus Hosp	San francisco, CA	Hospital
Petaluma Valley Hospital	Petaluma, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1293

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. Jacqueline Rae Skvaril allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Jacqueline Rae Skvaril 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
Jacqueline Rae Skvaril, MD 3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634 Ph: (707) 575-6049	Jacqueline Rae Skvaril, MD 3536 Mendocino Ave, Ste 300, Santa Rosa, CA 95403-3634 Ph: (707) 544-3411

Reviews and Comments

Internal Medicine Doctors in Santa Rosa, CA

Rajveer Sangera, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Doyle Park Dr Ste G04, Santa Rosa, CA 95405 Phone: 707-576-7100
Dr. Yulia Rivelis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3883 Airway Dr, Santa Rosa, CA 95403 Phone: 707-573-5458 Fax: 707-573-5458
Soheila Benrazavi, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4730 Hoen Ave, Santa Rosa, CA 95405 Phone: 707-528-1616
Jarrod Paul Holmes, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3555 Round Barn Cir, Santa Rosa, CA 95403 Phone: 707-528-1050 Fax: 707-525-3874
Dominic Joseph Picetti, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000
Parul Kohli, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3536 Mendocino Ave, Ste 300, Santa Rosa, CA 95403 Phone: 707-546-2180 Fax: 707-546-2188
Scott M. Trahms, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000

Jacqueline Rae Skvaril, MD - Medicare Internal Medicine in Santa Rosa, CA