Dr Elisabeth Regina Widman, MD in San Rafael, CA

Dr Elisabeth Regina Widman, MD is a medicare enrolled "Family Medicine" physician in San Rafael, California. She went to University Of Miami, Lm Miller School Of Medicine and graduated in 1975 and has 49 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Regents Univ Of California Ucsf and her current practice location is 706 D St, E Regina Widman Md, San Rafael, California. You can reach out to her office (for appointments etc.) via phone at (415) 256-1980.

Dr Elisabeth Regina Widman is licensed to practice in California (license number G46518) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1831173855.

Contact Information

	Dr Elisabeth Regina Widman, MD
	706 D St, E Regina Widman Md, San Rafael, CA 94901-3757
	(415) 256-1980
	(415) 256-1981

Map and Direction

Physician's Profile

Full Name	Dr Elisabeth Regina Widman
Gender	Female
Speciality	Family Practice
Experience	49 Years
Location	706 D St, San Rafael, California
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Elisabeth Regina Widman attended and graduated from University Of Miami, Lm Miller School Of Medicine in 1975

NPI Data:

NPI Number: 1831173855
Provider Enumeration Date: 12/02/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4486698412
Enrollment ID: I20050610000533

Medical Identifiers

Medical identifiers for Dr Elisabeth Regina Widman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831173855	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	G46518 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Marinhealth Medical Center	Greenbrae, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Regents Univ Of California Ucsf	6305160300	199

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. Dr Elisabeth Regina Widman allows following entities to bill medicare on her behalf.

Entity Name	Marin Healthcare District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659609964 PECOS PAC ID: 5698818011 Enrollment ID: O20100208000538

Entity Name	Regents Univ Of California Ucsf
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124439807 PECOS PAC ID: 6305160300 Enrollment ID: O20150122001375

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 Elisabeth Regina Widman 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
Dr Elisabeth Regina Widman, MD 706 D St, San Rafael, CA 94901-3757 Ph: (415) 256-1980	Dr Elisabeth Regina Widman, MD 706 D St, E Regina Widman Md, San Rafael, CA 94901-3757 Ph: (415) 256-1980

Reviews and Comments

Family Medicine Doctors in San Rafael, CA

Dr. Ann Hathaway, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 25 Mitchell Blvd, #3, San Rafael, CA 94903 Phone: 415-499-0966 Fax: 415-446-0118
Peter Allen Novota, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3110 Kerner Blvd, San Rafael, CA 94901 Phone: 415-448-1500 Fax: 415-526-8570
Daniel Aaron Smith, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-4873
Michael A Frumkin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 30 Newport Way, San Rafael, CA 94901 Phone: 315-415-6865
Mrs. Meenal Sunit Lohtia, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 4000 Civic Center Drive, Suite 200, San Rafael, CA 94903 Phone: 415-492-3333 Fax: 415-492-3425
Dr. Charles C. Palmigiano, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 920 Northgate Dr, Suite 6, San Rafael, CA 94903 Phone: 415-479-1022 Fax: 415-479-5305
Jay F. Fairborn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000

Dr Elisabeth Regina Widman, MD - Medicare Family Practice in San Rafael, CA