Thomas A Bertolli, MD is a medicare enrolled "Family Medicine" physician in Laytonville, California. He went to George Washington University School Of Medicine and graduated in 1981 and has 44 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Redwood Coast Medical Services, Inc. and his current practice location is
50 Branscomb Road, Laytonville, California. You can reach out to his office (for appointments etc.) via phone at
(707) 984-6131.
Thomas A Bertolli is licensed to practice in California (license number A38824) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1811089717.
Physician's Profile
| Full Name | Thomas A Bertolli |
|---|
| Gender | Male |
|---|
| Speciality | Family Practice |
|---|
| Experience | 44 Years |
|---|
| Location | 50 Branscomb Road, Laytonville, 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. |
|---|
Medical Education and Training:
- Thomas A Bertolli attended and graduated from George Washington University School Of Medicine in 1981
NPI Data:
- NPI Number: 1811089717
- Provider Enumeration Date: 09/28/2006
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 4385799568
- Enrollment ID: I20090911000627
Medical Identifiers
Medical identifiers for Thomas A Bertolli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811089717 | NPI | - | NPPES |
| FHC03906F | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | A38824 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Redwood Coast Medical Services, Inc. | 6901941905 | 6 |
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. Thomas A Bertolli allows following entities to bill medicare on his behalf.
| Entity Name | Long Valley Health Center |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1366467375
PECOS PAC ID: 8628965852
Enrollment ID: O20040302001373 |
|---|
| Entity Name | Mendocino Community Health Clinic Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1497961106
PECOS PAC ID: 6305755455
Enrollment ID: O20040826001483 |
|---|
| Entity Name | Redwood Coast Medical Services, Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1962530725
PECOS PAC ID: 6901941905
Enrollment ID: O20100302000446 |
|---|
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. Thomas A Bertolli 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 |
|---|
Thomas A Bertolli, MD
Po Box 870,
Laytonville, CA 95454-0870
Ph: (707) 984-6131 | Thomas A Bertolli, MD
50 Branscomb Road,
Laytonville, CA 95454
Ph: (707) 984-6131 |
Reviews and Comments