Dr Raymond Mark Bernal, MD is a medicare enrolled "Urology" physician in Manteca, California. His current practice location is
1789 W Yosemite Ave, Manteca, California. You can reach out to his office (for appointments etc.) via phone at
(209) 858-7770.
Dr Raymond Mark Bernal is licensed to practice in California (license number 138060) 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 1073776761.
Physician's Profile
| Full Name | Dr Raymond Mark Bernal |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 1789 W Yosemite Ave, Manteca, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073776761
- Provider Enumeration Date: 07/03/2008
- Last Update Date: 09/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 7012187628
- Enrollment ID: I20160921000919
Medical Identifiers
Medical identifiers for Dr Raymond Mark Bernal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1073776761 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208800000X | Urology | 138060 (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 Raymond Mark Bernal allows following entities to bill medicare on his behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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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 Raymond Mark Bernal 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 Raymond Mark Bernal, MD 1789 W Yosemite Ave Ste 200, Manteca, CA 95337-5130 Ph: (209) 858-7770 | Dr Raymond Mark Bernal, MD 1789 W Yosemite Ave, Manteca, CA 95337-5130 Ph: (209) 858-7770 |
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