Michael Repko, MD is a
Pathology - Anatomic Pathology & Clinical Pathology physician based in Petaluma, California. Michael Repko is licensed to practice in California (license number G25554) and his current practice location is 400 N Mcdowell Blvd, Petaluma, California. He can be reached at his office (for appointments etc.) via phone at
(707) 778-1111.
NPI number for Michael Repko is 1518176460 and his current mailing address is 1310 Commerce St, Suite B, Petaluma, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518176460.
Physician's Profile
| Full Name | Michael Repko |
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| Gender | Male |
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| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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| Location | 400 N Mcdowell Blvd, Petaluma, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518176460
- Provider Enumeration Date: 05/21/2007
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Michael Repko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1518176460 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | G25554 (California) | Primary |
| 207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | G25554 (California) | Secondary |
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. Michael Repko is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Michael Repko, MD 1310 Commerce St, Suite B, Petaluma, CA 94954-1469 Ph: (707) 778-7862 | Michael Repko, MD 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 Ph: (707) 778-1111 |
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