Sean Wormuth, MD in Vallejo, CA - Medicare Emergency Medicine

Sean Wormuth, MD is a medicare enrolled "Emergency Medicine" physician in Vallejo, California. His current practice location is 975 Sereno Dr, Vallejo, California. You can reach out to his office (for appointments etc.) via phone at (707) 651-1000.

Sean Wormuth is licensed to practice in California (license number A65543) 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 1285712018.

Contact Information

	Sean Wormuth, MD
	975 Sereno Dr, Vallejo, CA 94589-2441
	(707) 651-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Sean Wormuth
Gender	Male
Speciality	Emergency Medicine
Location	975 Sereno Dr, Vallejo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285712018
Provider Enumeration Date: 11/01/2006
Last Update Date: 12/09/2021

Medicare PECOS Information:

PECOS PAC ID: 9133027246
Enrollment ID: I20031229000329

Medical Identifiers

Medical identifiers for Sean Wormuth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285712018	NPI	-	NPPES
00A655430	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A65543 (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. Sean Wormuth allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Sean Wormuth 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
Sean Wormuth, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Sean Wormuth, MD 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-1000

Reviews and Comments

Emergency Medicine Doctors in Vallejo, CA

Jason Willis-shore, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Timothy Charles Miller, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Steven P. Whiteley, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Judith E Peck, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-3373 Fax: 707-651-2478
Peter P. Chau, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Neil L. Markus, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Dr. Thomas Welch Gross, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4910

Sean Wormuth, MD - Medicare Emergency Medicine in Vallejo, CA