Anna Michelle Denham, MD | |
99 Montecillo Rd, San Rafael, CA 94903-3308 | |
(415) 444-2000 | |
Not Available |
Full Name | Anna Michelle Denham |
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Gender | Female |
Speciality | Emergency Medicine |
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 |
---|---|---|---|
1750465738 | NPI | - | NPPES |
00A772320 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A77232 (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 |
---|---|
Anna Michelle Denham, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Anna Michelle Denham, MD 99 Montecillo Rd, San Rafael, CA 94903-3308 Ph: (415) 444-2000 |
Kurt Hoyt Kunzel, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4000 Civic Center Dr, San Rafael, CA 94903 Phone: 209-342-2300 Fax: 209-524-4240 | |
Douglas C. Harris, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Cynthia Billmeyer Clark, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4000 Civic Center Dr, San Rafael, CA 94903 Phone: 209-342-2300 Fax: 209-524-4240 | |
Michael J. Sexton, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Seth M. Peckler, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Robert J. Stein, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Morgan Clark Camp, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4000 Civic Center Dr, San Rafael, CA 94903 Phone: 209-342-2300 Fax: 209-524-4240 |