Mr John Charles Roedel, LMFT | |
777 Davis St, San Leandro, CA 94577-6923 | |
(513) 400-5460 | |
Not Available |
Full Name | Mr John Charles Roedel |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 777 Davis St, San Leandro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285833962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 35002003A (Indiana) | Secondary |
106H00000X | Marriage & Family Therapist | 46086 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Mr John Charles Roedel, LMFT 777 Davis St, San Leandro, CA 94577-6923 Ph: (513) 400-5460 | Mr John Charles Roedel, LMFT 777 Davis St, San Leandro, CA 94577-6923 Ph: (513) 400-5460 |
Ms. Emilee Ann Dunlop, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 15430 Foothill Blvd, San Leandro, CA 94578 Phone: 510-357-3562 | |
Jing Zhao, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-317-1444 | |
Cindy Hill-ford, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 545 Estudillo Ave, San Leandro, CA 94577 Phone: 510-352-9200 Fax: 510-875-1044 | |
Cristina Rosas, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1000 San Leandro Blvd, Suite 300, San Leandro, CA 94577 Phone: 510-418-4421 | |
Ms. Alison Clare Mckenzie, M.A., MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1000 San Leandro Blvd., Suite 300, San Leandro, CA 94577 Phone: 510-667-3176 | |
Adriana Najera, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13847 E 14th St Ste 215, San Leandro, CA 94578 Phone: 510-430-1115 | |
Kevin Calaway, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-481-1222 |