Dr Stephan Zmugg, MD - Medicare Orthopaedic Surgery in Oakland, CA

Dr Stephan Zmugg, MD is a medicare enrolled "Orthopaedic Surgery" physician in Oakland, California. His current practice location is 275 W Macarthur Blvd, Oakland, California. You can reach out to his office (for appointments etc.) via phone at (510) 752-1000.

Dr Stephan Zmugg is licensed to practice in California (license number A156721) 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 1396030680.

Contact Information

Dr Stephan Zmugg, MD
275 W Macarthur Blvd,
Oakland, CA 94611-5641
(510) 752-1000
Not Available

Map and Direction




Physician's Profile

Full NameDr Stephan Zmugg
GenderMale
SpecialityOrthopaedic Surgery
Location275 W Macarthur Blvd, Oakland, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396030680
  • Provider Enumeration Date: 06/14/2011
  • Last Update Date: 12/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4183928914
  • Enrollment ID: I20190426002347

Medical Identifiers

Medical identifiers for Dr Stephan Zmugg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396030680NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 288700 (New York)Secondary
207XP3100XOrthopaedic Surgery - Pediatric Orthopaedic Surgery Q8402 (Texas)Secondary
207X00000XOrthopaedic Surgery A156721 (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 Stephan Zmugg allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. Dr Stephan Zmugg 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 AddressPractice Location Address
Dr Stephan Zmugg, MD
275 W Macarthur Blvd,
Oakland, CA 94611-5641

Ph: (510) 752-1000
Dr Stephan Zmugg, MD
275 W Macarthur Blvd,
Oakland, CA 94611-5641

Ph: (510) 752-1000

Reviews and Comments


Orthopaedic Surgery Doctors in Oakland, CA

George A. Pugh, M.D.
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Dr. Christopher A Cox, M.D.
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Phone: 925-939-8585    
Dr. James Lyman Shively, M.D.
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Practice Location: 747 52nd St, Oakland, CA 94609
Phone: 510-428-3000    
Dr. Eric O. Eisemon, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611
Phone: 510-752-1000    
Dr. Wayne Pan, MD, PHD, MBA
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Medicare: Medicare Enrolled
Practice Location: 5901 Vallejo St Apt D, Oakland, CA 94608
Phone: 650-922-8131    
Jeffrey A. Mann, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 350 30th St Ste 530, Oakland, CA 94609
Phone: 510-422-5150    Fax: 510-422-5149

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.