Dr Andrew Whalen X, PT | |
99 Montecillo Rd, San Rafael, CA 94903-3308 | |
(415) 444-2000 | |
Not Available |
Full Name | Dr Andrew Whalen X |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
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 |
---|---|---|---|
1316209968 | NPI | - | NPPES |
PT36024 | Other | CA | PT LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 36034 (California) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 36024 (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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Dr Andrew Whalen X, PT 99 Montecillo Rd, San Rafael, CA 94903-3308 Ph: (415) 444-2000 | Dr Andrew Whalen X, PT 99 Montecillo Rd, San Rafael, CA 94903-3308 Ph: (415) 444-2000 |
Ronald F. Gaines, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Dr. Scott E Pinner, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-4977 | |
Dr. Mary Elizabeth Air, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2988 | |
Rebecca Jean Anderson, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 81 Professional Pkwy, San Rafael, CA 94903 Phone: 415-479-5161 | |
Dr. Carol Ann Banquer, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 237 Santa Margarita Dr, San Rafael, CA 94901 Phone: 415-847-5353 | |
Edward N. Demayo, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 |