Aleda A Longwell, MD | |
1320 El Capitan Dr, Danville, CA 94526-6258 | |
(925) 838-4363 | |
(925) 838-4545 |
Full Name | Aleda A Longwell |
---|---|
Gender | Female |
Speciality | Dermatology - Mohs-micrographic Surgery |
Location | 1320 El Capitan Dr, Danville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093960643 | NPI | - | NPPES |
CB368 | Other | CA | MEDICARE PTAN |
BJ276Z | Other | CA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | A86547 (California) | Secondary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | A86547 (California) | Primary |
Entity Name | Berman Skin Institute Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528175528 PECOS PAC ID: 0042407215 Enrollment ID: O20101214000672 |
Mailing Address | Practice Location Address |
---|---|
Aleda A Longwell, MD 360 Rose Ave, Danville, CA 94526-3320 Ph: (925) 838-4363 | Aleda A Longwell, MD 1320 El Capitan Dr, Danville, CA 94526-6258 Ph: (925) 838-4363 |
Jerome Potozkin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 600 San Ramon Valley Blvd, Suite 102, Danville, CA 94526 Phone: 925-838-4900 Fax: 925-838-4920 | |
Sonia Badreshia, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 360 Rose Ave, Danville, CA 94526 Phone: 925-389-7196 | |
Gergana Gallacher, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 770 San Ramon Blvd, Danville, CA 94526 Phone: 925-820-3376 Fax: 925-820-3307 | |
Daniel J Wall, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3860 Blackhawk Rd Ste 140, Danville, CA 94506 Phone: 925-837-6000 | |
Hayes Bordman Gladstone, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3860 Blackhawk Rd Ste 140, Danville, CA 94506 Phone: 925-837-6000 | |
Dr. Adam Gregory Wallach, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 400 El Cerro Blvd, Suite 204, Danville, CA 94526 Phone: 925-837-8848 Fax: 925-837-4808 |