Christopher Clark Severson, MD in Pleasanton, CA

Christopher Clark Severson, MD is a medicare enrolled "Emergency Medicine" physician in Pleasanton, California. His current practice location is 5555 W Las Positas Blvd, Pleasanton, California. You can reach out to his office (for appointments etc.) via phone at (209) 342-2300.

Christopher Clark Severson is licensed to practice in California (license number A90347) 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 1750365516.

Contact Information

	Christopher Clark Severson, MD
	5555 W Las Positas Blvd, Pleasanton, CA 94588-4000
	(209) 342-2300
	(209) 524-4240

Map and Direction

Physician's Profile

Full Name	Christopher Clark Severson
Gender	Male
Speciality	Emergency Medicine
Location	5555 W Las Positas Blvd, Pleasanton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750365516
Provider Enumeration Date: 12/05/2005
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 9335182195
Enrollment ID: I20050602001239

Medical Identifiers

Medical identifiers for Christopher Clark Severson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750365516	NPI	-	NPPES
OOA903470	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A90347 (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. Christopher Clark Severson allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Christopher Clark Severson 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
Christopher Clark Severson, MD 50 Martha Rd, Orinda, CA 94563-3536 Ph: (925) 416-6585	Christopher Clark Severson, MD 5555 W Las Positas Blvd, Pleasanton, CA 94588-4000 Ph: (209) 342-2300

Reviews and Comments

Emergency Medicine Doctors in Pleasanton, CA

Cynthia Sue Penn-duecker, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 W Las Positas Blvd, Pleasanton, CA 94588 Phone: 209-342-2300 Fax: 209-524-4240
Dr. Tony G Shiu, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5555 W Las Positas Blvd, Pleasanton, CA 94588 Phone: 209-342-2300 Fax: 209-524-4240
Edward Y Kan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 W Las Positas Blvd, Pleasanton, CA 94588 Phone: 209-342-2300 Fax: 209-524-4240
Yen-hua Yu, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 W Las Positas Blvd, Pleasanton, CA 94588 Phone: 925-416-6585
Scott Gregory Seidman, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5555 W Las Positas Blvd, Pleasanton, CA 94588 Phone: 209-342-2300 Fax: 209-524-4240
Douglas Kei Yoshida, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 W Las Positas Blvd, Pleasanton, CA 94588 Phone: 209-342-2300 Fax: 209-524-4240
Robert Louis Mandiberg, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5555 W Las Positas Blvd, Pleasanton, CA 94588 Phone: 209-342-2300 Fax: 209-524-4240

Christopher Clark Severson, MD - Medicare Emergency Medicine in Pleasanton, CA