Mark J Popovich, MD in Santa Rosa, CA

Mark J Popovich, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Santa Rosa, California. His current practice location is 3883 Airway Dr Ste 100, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 521-4480.

Mark J Popovich is licensed to practice in California (license number G57995) 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 1245320704.

Contact Information

	Mark J Popovich, MD
	3883 Airway Dr Ste 100, Santa Rosa, CA 95403-1672
	(707) 521-4480
	(707) 521-4460

Map and Direction

Physician's Profile

Full Name	Mark J Popovich
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	3883 Airway Dr Ste 100, Santa Rosa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245320704
Provider Enumeration Date: 10/13/2006
Last Update Date: 08/26/2019

Medicare PECOS Information:

PECOS PAC ID: 5092884783
Enrollment ID: I20080521000360

Medical Identifiers

Medical identifiers for Mark J Popovich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245320704	NPI	-	NPPES
00G579950	Medicaid	CA
473423	Other	CA	AMERICAN BOARD OF RADIOLOGY
G57995	Other	CA	STATE MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085B0100X	Radiology - Body Imaging	G57995 (California)	Secondary
2085N0904X	Radiology - Nuclear Radiology	G57995 (California)	Secondary
2085U0001X	Radiology - Diagnostic Ultrasound	G57995 (California)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	G57995 (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. Mark J Popovich allows following entities to bill medicare on his behalf.

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

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 J Popovich 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 J Popovich, MD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (707) 521-4480	Mark J Popovich, MD 3883 Airway Dr Ste 100, Santa Rosa, CA 95403-1672 Ph: (707) 521-4480

Reviews and Comments

Radiology Doctors in Santa Rosa, CA

Gary Raymond Roper, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3883 Airway Dr Ste 101, Santa Rosa, CA 95403 Phone: 707-521-4480 Fax: 707-521-4460
Dr. Alvaris W Duffis, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3325 Chanate Rd, Santa Rosa, CA 95404 Phone: 707-576-4475
Katherine R. Vickery, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
David Howard Schmidt, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 121 Sotoyome St, Santa Rosa, CA 95405 Phone: 707-546-4062 Fax: 707-578-6258
Dr. Shawn Daly, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 121 Sotoyome St, Santa Rosa, CA 95405 Phone: 707-546-4062 Fax: 707-525-4095
Clifford F Sweet, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-569-4740
Gregory P Penning, R.T.(R)(CT)ARRT Radiology Medicare: Not Enrolled in Medicare Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000

Mark J Popovich, MD - Medicare Radiology in Santa Rosa, CA