DR. JOHN EUGENE OBEDZINSKI MD
NPI 1396947685
Psychiatry & Neurology - Child & Adolescent Psychiatry in Corte Madera, CA
- Individual
- Male
- Psychiatry & Neurology
- Child & Adolescent Psychiatry
- PECOS Enrolled
- Opted-Out Medicare
About JOHN OBEDZINSKI
This page provides the complete NPI Profile along with additional information for John Obedzinski, a provider established in Corte Madera, California with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1396947685 assigned on May 2007. The practitioner's primary taxonomy code is 2084P0804X with license number G24321 (CA). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1396947685 Verify this NPI
- Provider Name
- DR. JOHN EUGENE OBEDZINSKI MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 21 TAMAL VISTA BLVD SUITE 240 CORTE MADERA, CA 94925
- Location Phone
- (415) 924-2205
- Location Fax
- (415) 488-0952
- Mailing Address
- 21 TAMAL VISTA BLVD SUITE 240 CORTE MADERA, CA 94925
- Mailing Phone
- (415) 924-2205
- Mailing Fax
- (415) 488-0952
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-31-2007
- Last Update Date
- 07-08-2007
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. John Obedzinski opted out of Medicare effective on 12-01-2014 until 12-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Child & Adolescent Psychiatry
- Taxonomy Code
- 2084P0804X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G24321
- License State
- CA
- Taxonomy Description
- Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Medicare Participation & PECOS Enrollment Status
John Obedzinski is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 12-01-2014
Opt-Out End Date: 12-01-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. JOHN EUGENE OBEDZINSKI MD
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CORTE MADERA, CA 94925
CORTE MADERA, CA 94925
CORTE MADERA, CA 94925
CORTE MADERA, CA 94925
CORTE MADERA, CA 94925
CORTE MADERA, CA 94925
CORTE MADERA, CA 94925
CORTE MADERA, CA 94925
CORTE MADERA, CA 94925
CORTE MADERA, CA 94925
CORTE MADERA, CA 94925
CORTE MADERA, CA 94925
CORTE MADERA, CA 94925
CORTE MADERA, CA 94925
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396947685, enumerated as an "individual" on May 31, 2007.
The provider is located at 21 TAMAL VISTA BLVD SUITE 240 CORTE MADERA, CA 94925 and the phone number is (415) 924-2205.
Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.
