Hana Clark, DO in Rohnert Park, CA - Medicare Family Practice

Hana Clark, DO is a medicare enrolled "Family Medicine" physician in Rohnert Park, California. She went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2011 and has 14 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Permanente Medical Group Inc and her current practice location is 1801 E Cotati Ave, Rohnert Park, California. You can reach out to her office (for appointments etc.) via phone at (707) 664-2921.

Hana Clark is licensed to practice in California (license number 20A12456) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730479569.

Contact Information

	Hana Clark, DO
	1801 E Cotati Ave, Rohnert Park, CA 94928-3613
	(707) 664-2921
	Not Available

Map and Direction

Physician's Profile

Full Name	Hana Clark
Gender	Female
Speciality	Family Practice
Experience	14 Years
Location	1801 E Cotati Ave, Rohnert Park, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Hana Clark attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2011

NPI Data:

NPI Number: 1730479569
Provider Enumeration Date: 04/13/2011
Last Update Date: 01/04/2022

Medicare PECOS Information:

PECOS PAC ID: 9234361924
Enrollment ID: I20150116000016

Medical Identifiers

Medical identifiers for Hana Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730479569	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	20A12456 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8867

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. Hana Clark allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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. Hana Clark 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
Hana Clark, DO 3569 Round Barn Cir Ste 200, Santa Rosa, CA 95403-5784 Ph: (707) 303-3600	Hana Clark, DO 1801 E Cotati Ave, Rohnert Park, CA 94928-3613 Ph: (707) 664-2921

Reviews and Comments

Family Medicine Doctors in Rohnert Park, CA

Michael D. Maggioncalda, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 5900 State Farm Dr, Rohnert Park, CA 94928 Phone: 707-206-3000
Ashmi Ullal, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 State Farm Dr, Rohnert Park, CA 94928 Phone: 707-577-7500
Dr. Scott Dean Cutler, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1801 E. Cotati Avenue, Rohnert Park, CA 95404 Phone: 707-664-2921 Fax: 707-664-2925
Vanessa Elizabeth Ramirez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 State Farm Dr Fl 2, Rohnert Park, CA 94928 Phone: 707-559-7500
Marissa Nicole Westerland, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5900 State Farm Dr, Rohnert Park, CA 94928 Phone: 707-206-3044
Dr. Mary Elizabeth Frank, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1450 Medical Center Dr, Suite 3, Rohnert Park, CA 94928 Phone: 707-584-8588 Fax: 707-584-2869
Ms. Laura Martin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 State Farm Dr Ste 200, Rohnert Park, CA 94928 Phone: 707-559-7500

Hana Clark, DO - Medicare Family Practice in Rohnert Park, CA