Mark Dy-liacco, MD in Pleasanton, CA - Medicare General Surgery

Mark Dy-liacco, MD is a medicare enrolled "Surgery" physician in Pleasanton, California. He went to Medical College Of Wisconsin and graduated in 1992 and has 33 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice House Medicine, Stanford Health Care and his current practice location is 5555 W Las Positas Blvd, Pleasanton, California. You can reach out to his office (for appointments etc.) via phone at (925) 416-3440.

Mark Dy-liacco is licensed to practice in California (license number G192769) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366488850.

Contact Information

	Mark Dy-liacco, MD
	5555 W Las Positas Blvd, Pleasanton, CA 94588-4000
	(925) 416-3440
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark Dy-liacco
Gender	Male
Speciality	General Surgery
Experience	33 Years
Location	5555 W Las Positas Blvd, Pleasanton, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark Dy-liacco attended and graduated from Medical College Of Wisconsin in 1992

NPI Data:

NPI Number: 1366488850
Provider Enumeration Date: 06/21/2006
Last Update Date: 01/14/2025

Medicare PECOS Information:

PECOS PAC ID: 5092613265
Enrollment ID: I20240807004475

Medical Identifiers

Medical identifiers for Mark Dy-liacco such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366488850	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0102X	Surgery - Surgical Critical Care	G192769 (California)	Secondary
208600000X	Surgery	G192769 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Stanford Health Care - Valleycare	Pleasanton, CA	Hospital
Antelope Valley Hospital	Lancaster, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
House Medicine	4385985407	8
Stanford Health Care	6709797491	2771

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. Mark Dy-liacco allows following entities to bill medicare on his behalf.

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

Entity Name	University Healthcare Alliance
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760531198 PECOS PAC ID: 6305748799 Enrollment ID: O20040126000292

Entity Name	House Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578037115 PECOS PAC ID: 4385985407 Enrollment ID: O20190417002420

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. Mark Dy-liacco 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
Mark Dy-liacco, MD 5555 W Las Positas Blvd, Pleasanton, CA 94588-4000 Ph: () -	Mark Dy-liacco, MD 5555 W Las Positas Blvd, Pleasanton, CA 94588-4000 Ph: (925) 416-3440

Reviews and Comments

Surgery Doctors in Pleasanton, CA

Raman Nambisan, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 5575 W Las Positas Blvd, #270, Pleasanton, CA 94588 Phone: 925-460-3883 Fax: 925-460-3883
Michael Christopher Gynn, MD Surgery Medicare: Medicare Enrolled Practice Location: 5555 W Las Positas Blvd, Pleasanton, CA 94588 Phone: 925-416-3440
Mary Elizabeth Estakhri, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5565 W Las Positas Blvd Ste 260, Pleasanton, CA 94588 Phone: 925-534-0500
John Victor Gahagan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5725 W Las Positas Blvd Ste 100, Pleasanton, CA 94588 Phone: 925-734-8130
Dr. Chau Van Dang, MD Surgery Medicare: Medicare Enrolled Practice Location: 5575 W Las Positas Blvd, #270, Pleasanton, CA 94588 Phone: 925-460-3883 Fax: 925-460-3883
Dr. William Yee, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4100 Foothill Rd, Pleasanton, CA 94588 Phone: 925-963-8948 Fax: 925-462-7992

Mark Dy-liacco, MD - Medicare General Surgery in Pleasanton, CA