Raoul B Del Mar, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Rocklin, California. His current practice location is
6508 Lonetree Blvd, Suite 103, Rocklin, California. You can reach out to his office (for appointments etc.) via phone at
(916) 771-5533.
Raoul B Del Mar is licensed to practice in California (license number A89166) 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 1578507679.
Physician's Profile
Full Name | Raoul B Del Mar |
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Gender | Male |
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Speciality | Pediatrics - Adolescent Medicine |
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Location | 6508 Lonetree Blvd, Rocklin, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578507679
- Provider Enumeration Date: 06/16/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2769572577
- Enrollment ID: I20071217000789
Medical Identifiers
Medical identifiers for Raoul B Del Mar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578507679 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080A0000X | Pediatrics - Adolescent Medicine | A89166 (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. Raoul B Del Mar allows following entities to bill medicare on his 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. Raoul B Del Mar 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 |
Raoul B Del Mar, MD 9380 Courtney Way, Roseville, CA 95747-9147 Ph: (916) 218-8808 | Raoul B Del Mar, MD 6508 Lonetree Blvd, Suite 103, Rocklin, CA 95765-5874 Ph: (916) 771-5533 |
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