Alex V Prescott, MD | |
99 Montecillo Rd, San Rafael, CA 94903-3308 | |
(415) 444-2000 | |
Not Available |
Full Name | Alex V Prescott |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 99 Montecillo Rd, San Rafael, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427132596 | NPI | - | NPPES |
00G785580 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | G78558 (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 |
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Alex V Prescott, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Alex V Prescott, MD 99 Montecillo Rd, San Rafael, CA 94903-3308 Ph: (415) 444-2000 |
Richard T. Fong, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Dr. Peter Douglas Mcqueen, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-4430 | |
John F. Safanda, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Francois S. Antounian, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 |