Manda Julieanne Notzon, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Pinole, California. She went to Univ Of Illinois At Chicago College Of Dentistry and graduated in 2012 and has 14 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Permanente Medical Group Inc and her current practice location is
1301 Pinole Valley Rd, Women's Health, Pinole, California. You can reach out to her office (for appointments etc.) via phone at
(510) 243-4412.
Manda Julieanne Notzon is licensed to practice in California (license number 143383) 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 1295000453.
Physician's Profile
| Full Name | Manda Julieanne Notzon |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 14 Years |
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| Location | 1301 Pinole Valley Rd, Pinole, California |
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| 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:
- Manda Julieanne Notzon attended and graduated from Univ Of Illinois At Chicago College Of Dentistry in 2012
NPI Data:
- NPI Number: 1295000453
- Provider Enumeration Date: 03/20/2012
- Last Update Date: 12/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 6800184136
- Enrollment ID: I20161019001108
Medical Identifiers
Medical identifiers for Manda Julieanne Notzon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1295000453 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207V00000X | Obstetrics & Gynecology | 143383 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Permanente Medical Group Inc | 8921910225 | 10968 |
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. Manda Julieanne Notzon allows following entities to bill medicare on her 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. Manda Julieanne Notzon 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 |
Manda Julieanne Notzon, MD 1301 Pinole Valley Rd, Women's Health, Pinole, CA 94564-1384 Ph: (510) 243-4412 | Manda Julieanne Notzon, MD 1301 Pinole Valley Rd, Women's Health, Pinole, CA 94564-1384 Ph: (510) 243-4412 |
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