| Mark R Homicz, MD | |
|
1701 4th St Ste 120, Santa Rosa, CA 95404-3661 | |
| (707) 523-7025 | |
| (707) 523-3024 |
| Full Name | Mark R Homicz |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 28 Years |
| Location | 1701 4th St Ste 120, Santa Rosa, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336198449 | NPI | - | NPPES |
| 00A704130 | Other | CA | BLUE SHIELD OF CALIFORNIA |
| P00933198 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | A70413 (California) | Primary |
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | A70413 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
| Sutter Santa Rosa Regional Hospital | Santa rosa, CA | Hospital |
| Adventist Health Ukiah Valley | Ukiah, CA | Hospital |
| Marinhealth Medical Center | Greenbrae, CA | Hospital |
| Healdsburg District Hospital | Healdsburg, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regents Univ Of California Ucsf | 6305160300 | 249 |
| Entity Name | Regents Univ Of California Ucsf |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124439807 PECOS PAC ID: 6305160300 Enrollment ID: O20150122001375 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark R Homicz, MD 3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634 Ph: (707) 575-6049 | Mark R Homicz, MD 1701 4th St Ste 120, Santa Rosa, CA 95404-3661 Ph: (707) 523-7025 |
Guy Talmor, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 34 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-541-3590 | |
Dr. William Arnold Combs, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1701 4th St Ste 120, Santa Rosa, CA 95404 Phone: 707-523-7025 | |
Dr. Victor G Lacombe, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1002 Mendocino Ave, Santa Rosa, CA 95401 Phone: 707-577-8292 Fax: 707-575-3941 | |
Stefan M Zechowy, M.D. Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 1701 4th St, Ste 120, Santa Rosa, CA 95404 Phone: 707-523-7025 Fax: 707-523-3024 | |
Annick Aubin-pouliot, Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 1701 4th St Ste 120, Santa Rosa, CA 95404 Phone: 707-523-7025 Fax: 707-523-3024 | |
Dr. Richard Turley, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-393-4409 | |
Charles J. Meltzer, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 |