Marlys S Fassett, MD PHD
Individual provider Active NPI Dermatology Physician · San Francisco, CA
NPI 1972898799 · NPPES record last updated Apr 6, 2015
Key facts
- NPI
- 1972898799
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- A124742 (CA)
- Practice address
- 1701 Divisadero St FL 3
UCSF Dermatology
San Francisco, CA 94115-3011 - Phone
- (415) 353-7800
- Fax
- (415) 353-7870
- NPI assigned
- Jun 9, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- Harvard Medical School, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of California San Francisco
UCSF Medical Group Business Services
Practice addresses (Care Compare)
1701 Divisadero St
San Francisco, CA 94115-3011
Phone (415) 476-1000
2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029
400 Parnassus Ave
San Francisco, CA 94143-2202
Phone (415) 476-1000
Hospital & facility affiliations
- UCSF Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.01 of 100
- Quality
- 86.78
- Improvement activities
- 40
- Cost
- 70.46
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.89 of 100
- Quality
- 81.13
- Improvement activities
- 40
- Cost
- 71.5
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 154 |
| Skin biopsy | 59 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150605001989 | CA | Practitioner - Dermatology | 4789815325 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A124742 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California San Francisco | Current |
Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Dermatology | Current |
Accepting new patients |
| University of California SFGH Medical Group | Current |
Accepting new patients | |
| University of California San Francisco | Dermatology | Current |
Accepting new patients |
| University of California SFGH Medical Group | Dermatology | Current |
Accepting new patients |
| UCSF Medical Group Business Services | Current |
Accepting new patients | |
| University of California San Francisco | Past | Accepting new patients | |
| University of California San Francisco Medical Center | Past | Accepting new patients |
Locations
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
1701 Divisadero St
San Francisco, CA 94115
Phone (415) 353-7300
1701 Divisadero St
Fl 3
San Francisco, CA 94115
Phone (415) 353-7800
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
995 Potrero Ave
Bldg 90
San Francisco, CA 94110
Phone (628) 206-4777
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
Interoperability endpoints
- mfassett41839@direct-ucsfmedicalcenter.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A124742 | CA | Yes |
Addresses
Primary practice location
1701 Divisadero St FL 3
UCSF Dermatology
San Francisco, CA 94115-3011
Mailing address
1701 Divisadero St FL 3
UCSF Dermatology
San Francisco, CA 94115-3011
Phone (415) 353-7800
Other providers in San Francisco, CA
- Neda N Farzan
- Helga Fasching
- Joanne Fascio
- Charis Fasoldt
- John Albert Fassett
- Joanna R Fassl
- Katharine Fast
- Fastdoc San Francisco
- Emily Fasten
- Fateh and Sudha, Inc.
All providers in San Francisco, CA · Dermatology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.