Melissa A Mark, CRNP in Berkeley, CA - Medicare Nurse Practitioner

Melissa A Mark, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Berkeley, California. She graduated from nursing school in 2009 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sutter Bay Medical Foundation and her current practice location is 2001 Dwight Way Fl 2, Berkeley, California. You can reach out to her office (for appointments etc.) via phone at (510) 204-5770.

Melissa A Mark is licensed to practice in California (license number 21279) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861722621.

Contact Information

	Melissa A Mark, CRNP
	2001 Dwight Way Fl 2, Berkeley, CA 94704-2608
	(510) 204-5770
	(510) 204-5749

Map and Direction

Provider's Profile

Full Name	Melissa A Mark
Gender	Female
Speciality	Nurse Practitioner
Experience	16 Years
Location	2001 Dwight Way Fl 2, Berkeley, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Melissa A Mark graduated from nursing school in 2009

NPI Data:

NPI Number: 1861722621
Provider Enumeration Date: 12/30/2009
Last Update Date: 10/28/2024

Medicare PECOS Information:

PECOS PAC ID: 5294996112
Enrollment ID: I20120419000458

Medical Identifiers

Medical identifiers for Melissa A Mark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861722621	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	NP21279 (California)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	SP010669 (Pennsylvania)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	21279 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Alta Bates Summit Medical Center - Alta Bates Camp	Berkeley, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sutter Bay Medical Foundation	4284538778	3318

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. Melissa A Mark allows following entities to bill medicare on her behalf.

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

Entity Name	University Of California San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897

Entity Name	University Anesthesia Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528137296 PECOS PAC ID: 2769370535 Enrollment ID: O20040304001219

Entity Name	Ucsf Medical Group Business Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513

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. Melissa A Mark 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
Melissa A Mark, CRNP 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (510) 204-1591	Melissa A Mark, CRNP 2001 Dwight Way Fl 2, Berkeley, CA 94704-2608 Ph: (510) 204-5770

Reviews and Comments

Nurse Practitioner Nurses in Berkeley, CA

Jessica B. Vetter, RN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2222 Bancroft Way, #4300, Berkeley, CA 94720 Phone: 510-642-9494
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Miss Madeline Tam Chow, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1510 4th St, Suite 1, Berkeley, CA 94710 Phone: 510-525-8980 Fax: 510-525-8982
Zena E Herman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 837 Addison St, Berkeley, CA 94710 Phone: 510-981-4100
Kathryn Leach, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2222 Bancroft Way, Berkeley, CA 94720 Phone: 510-642-2000
Stephanie Michelle Tai, FNP, MSN, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 Milvia St, Berkeley, CA 94704 Phone: 510-204-5600
Denise Scholz, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3260 Sacramento St, Berkeley, CA 94702 Phone: 510-981-4100

Melissa A Mark, CRNP - Medicare Nurse Practitioner in Berkeley, CA