Dr Dylan L Bellavance, DO - Medicare Family Medicine in Larkspur, CA

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Dr Dylan L Bellavance, DO is a medicare enrolled "Family Medicine" physician in Larkspur, California. His current practice location is 5 Bon Air Rd Ste 117, Larkspur, California. You can reach out to his office (for appointments etc.) via phone at (415) 448-1500.

Dr Dylan L Bellavance is licensed to practice in California (license number 20A19053) 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 1013414507.

Contact Information

Dr Dylan L Bellavance, DO
5 Bon Air Rd Ste 117,
Larkspur, CA 94939-1138
(415) 448-1500
Not Available

Map and Direction




Physician's Profile

Full NameDr Dylan L Bellavance
GenderMale
SpecialityFamily Medicine
Location5 Bon Air Rd Ste 117, Larkspur, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013414507
  • Provider Enumeration Date: 04/10/2018
  • Last Update Date: 09/19/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1557768363
  • Enrollment ID: I20210921003369

Medical Identifiers

Medical identifiers for Dr Dylan L Bellavance such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013414507NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 20A19053 (California)Primary

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 Dylan L Bellavance 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 Dylan L Bellavance, DO
5 Bon Air Rd Ste 117,
Larkspur, CA 94939-1138

Ph: (415) 448-1500		Dr Dylan L Bellavance, DO
5 Bon Air Rd Ste 117,
Larkspur, CA 94939-1138

Ph: (415) 448-1500

Reviews and Comments


Family Medicine Doctors in Larkspur, CA

Stephen Gary Mlawsky, M.D.
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Practice Location: 228 Old Quarry Rd N, Larkspur, CA 94939
Phone: 916-849-6178    
Dr. Adhira Divagaran, MD
Family Medicine
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Practice Location: 1100 Larkspur Landing Cir Ste 10, Larkspur, CA 94939
Phone: 415-924-1214    
Ms. Jacqueline Susanna Chan, D.O./OSTEOPATH
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Larkspur Landing Circle #255, Larkspur, CA 94939
Phone: 415-945-3213    Fax: 415-329-5080
Grace Fong, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Larkspur Landing Cir Ste 10, Larkspur, CA 94939
Phone: 415-924-1214    Fax: 415-924-1375

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.