Dr Mark Kal, MD is a medicare enrolled "Family Medicine" physician in Gualala, California. His current practice location is
46900 Ocean Dr, Gualala, California. You can reach out to his office (for appointments etc.) via phone at
(707) 884-4005.
Dr Mark Kal is licensed to practice in California (license number G56821) 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 1316937931.
Physician's Profile
| Full Name | Dr Mark Kal |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 46900 Ocean Dr, Gualala, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316937931
- Provider Enumeration Date: 10/25/2005
- Last Update Date: 08/04/2014
Medicare PECOS Information:
- PECOS PAC ID: 2668487182
- Enrollment ID: I20060220000403
Medical Identifiers
Medical identifiers for Dr Mark Kal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316937931 | NPI | - | NPPES |
| P01070319 | Other | CA | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | G56821 (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. Dr Mark Kal allows following entities to bill medicare on his behalf.
| Entity Name | Redwood Coast Medical Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962530725
PECOS PAC ID: 6901941905
Enrollment ID: O20100302000446 |
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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. Dr Mark Kal 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 Mark Kal, MD
Po Box 1100,
Gualala, CA 95445-1100
Ph: (707) 884-4005 | Dr Mark Kal, MD
46900 Ocean Dr,
Gualala, CA 95445-8353
Ph: (707) 884-4005 |
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