Dr Donald Lee Mcgillivray, AUD | |
3333 Mendocino Ave, Santa Rosa, CA 95403-2261 | |
(707) 292-6896 | |
Not Available |
Full Name | Dr Donald Lee Mcgillivray |
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Gender | Male |
Speciality | Audiologist |
Location | 3333 Mendocino Ave, Santa Rosa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1538316708 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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231H00000X | Audiologist | AU2618 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Dr Donald Lee Mcgillivray, AUD 2335 Lomitas Ave, #111, Santa Rosa, CA 95404-2161 Ph: () - | Dr Donald Lee Mcgillivray, AUD 3333 Mendocino Ave, Santa Rosa, CA 95403-2261 Ph: (707) 292-6896 |
Ms. Maryann Bilecki, M.A. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2451 Summerfield Rd, Santa Rosa, CA 95405 Phone: 707-523-7025 Fax: 707-523-3024 | |
Malica Ly, Audiologist Medicare: Accepting Medicare Assignments Practice Location: 4725 Hoen Ave Ste B, Santa Rosa, CA 95405 Phone: 707-542-1154 Fax: 707-542-4818 | |
Dr. Candace Alene Mcghee, AUD. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4584 Petaluma Hill Rd, Santa Rosa, CA 95404 Phone: 707-570-3814 | |
Jayme Fellores, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 1701 4th St, Suite 120, Santa Rosa, CA 95404 Phone: 707-523-7025 | |
Alyssa Nicole Carrillo, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3841 Brickway Blvd, Santa Rosa, CA 95403 Phone: 707-569-2300 | |
Julie Diane Hartz, M.S. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3333 Mendocino Ave Ste 240, Santa Rosa, CA 95403 Phone: 707-566-5201 Fax: 707-566-5203 | |
Nancy D Warren, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 3333 Mendocino Ave, Suite 240, Santa Rosa, CA 95403 Phone: 707-566-5201 |