GARY MISHKIN M.D. NPI 1912981382

Emergency Medicine in Saint Helena, CA

NPI 1912981382 Individual Male Years of Experience 38 Emergency Medicine PECOS Enrolled Accepts Medicare Approved Payment

About GARY MISHKIN

Gary Mishkin is a provider established in Saint Helena, California and his medical specialization is emergency medicine with more than 38 years of experience. He graduated from University Of California, Davis School Of Medicine in 1984. The NPI number of Gary Mishkin is 1912981382 and was assigned on November 2005. The practitioner's primary taxonomy code is 207P00000X with license number CAG056321 (CA). The provider is registered as an individual and his NPI record was last updated 15 years ago.

Gary Mishkin is enrolled in PECOS and is eligible to order or refer healthcare 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

Gary Mishkin is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Healdsburg District Hospital and Santa Rosa Memorial Hospital.

NPI

1912981382

Provider Name GARY MISHKIN M.D.
Provider Location Address10 WOODLAND RD SAINT HELENA, CA 94574
Provider Mailing Address10 WOODLAND RD SAINT HELENA, CA 94574
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduation Year1984
Is Sole Proprietor?N/A
Is Organization Subpart?N/A
Enumeration Date11-30-2005
Last Update Date07-09-2007


Primary Taxonomy

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.CAG056321
License StateCA
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Business Address

GARY MISHKIN M.D.
10 WOODLAND RD
SAINT HELENA, CA
ZIP 94574
Phone: (707) 963-3611

Get Directions


Mailing Address

GARY MISHKIN M.D.
10 WOODLAND RD
SAINT HELENA, CA
ZIP 94574
Phone: (707) 963-3611



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID7810954708
PECOS Enrollment IDI20041213000365
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Gary Mishkin is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
HEALDSBURG DISTRICT HOSPITAL1375 UNIVERSITY AVENUE
HEALDSBURG, CA 95448
(707) 431-6500Critical Access Hospitals51321
SANTA ROSA MEMORIAL HOSPITAL1165 MONTGOMERY DR
SANTA ROSA, CA 95405
(707) 525-5300Acute Care Hospitals50174

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
E25292MEDICARE UPIN (02)CA
CAG056321OTHER (01)CA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275535700 WILLIAM DUGE MD
Individual
Radiology (Diagnostic Radiology)10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 261-7821
1104812585DR. HIROFUMI HASHIMOTO MD
Individual
Internal Medicine10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6399
1619950193 EDWARD STUMP M.D.
Individual
Emergency Medicine10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6311
1033192547 DAN CLAY M.D.
Individual
Emergency Medicine10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6311
1174507552 EDWIN CARLSON M.D.
Individual
Emergency Medicine10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-3611
1508840513 JOSE RENE MIRANDA M.D.
Individual
Emergency Medicine10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-3611
1851355705 ANDREW DEMETRIUS HORPENIUK M.D., M.P.H.
Individual
Preventive Medicine (Occupational Medicine)10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6491
1083679781DR. DAVID R RACKER M.D.
Individual
Radiology (Diagnostic Radiology)10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6430
1659320703DR. ETHAN DALIERE SCHRAM M.D.
Individual
Internal Medicine (Medical Oncology)10 WOODLAND RD MARTIN-O'NEIL CANCER CENTER
SAINT HELENA, CA 94574
(707) 967-5721
1336194497RCOA-ADVENTIST HEALTH, LLC
Organization
Clinic/Center (Radiology, Mobile)10 WOODLAND RD
SAINT HELENA, CA 94574
(866) 293-3500
1922020221 DAVID KIM M.D.
Individual
Hospitalist10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6399
1205859683 DIANE LYNN HAMBRICK M.D.
Individual
Family Medicine (Addiction Medicine)10 WOODLAND RD ST. HELENA HOSPITAL
SAINT HELENA, CA 94574
(707) 967-5720
1881703973DR. HEATHER M. PENA M.D.
Individual
Internal Medicine10 WOODLAND RD CENTER FOR HEALTH
SAINT HELENA, CA 94574
(707) 963-6362
1689778987DR. STEVEN CARLTON HERBER MD
Individual
Surgery (Plastic and Reconstructive Surgery)10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 967-5981
1962508960 CAROL L ISAACS MD
Individual
Dermatology10 WOODLAND RD LLOYD BLDG STE 501
ST HELENA, CA 94574
(707) 963-5450
1386856888 JOANNE HATCH R.D.
Individual
Dietitian, Registered10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6218
1730396433 MAILE SHUBIN
Individual
Dietitian, Registered10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-3218
1558578013 PETRA SCHLENKE R.D.
Individual
Dietitian, Registered10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6432
1013117977DR. GEOFFREY WILLIAM HORN DO
Individual
Radiology (Diagnostic Radiology)10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6430
1174793574ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
Organization
Psychiatry & Neurology (Neurology)10 WOODLAND RD SUITE 502
SAINT HELENA, CA 94574
(707) 963-1882

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.