Bruce David Deas, MD | |
5176 Hill Road E., Lakeport, CA 95453-6300 | |
(707) 262-5000 | |
Not Available |
Full Name | Bruce David Deas |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 5176 Hill Road E., Lakeport, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639189715 | NPI | - | NPPES |
00G679340 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G67934 (California) | Primary |
207P00000X | Emergency Medicine | G67934 (California) | Secondary |
Entity Name | San Francisco Emergency Medical |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134110661 PECOS PAC ID: 5698662518 Enrollment ID: O20040303001130 |
Entity Name | North Sonoma County Health Care District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194824573 PECOS PAC ID: 4789594367 Enrollment ID: O20060406000251 |
Entity Name | Sonoma Valley Emergency Physicians Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710164629 PECOS PAC ID: 1355420191 Enrollment ID: O20080506000390 |
Entity Name | Norcal Healthconnect Llc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1861009672 PECOS PAC ID: 2466864038 Enrollment ID: O20201225000001 |
Entity Name | Norcal Healthconnect Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720695547 PECOS PAC ID: 2466864038 Enrollment ID: O20210308001127 |
Mailing Address | Practice Location Address |
---|---|
Bruce David Deas, MD Po Box 12289, Westminster, CA 92685-2289 Ph: (877) 818-6101 | Bruce David Deas, MD 5176 Hill Road E., Lakeport, CA 95453-6300 Ph: (707) 262-5000 |
Bradley Trent Clair, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5196 Hill Rd E, Ste 202, Lakeport, CA 95453 Phone: 707-263-1777 Fax: 707-263-8137 | |
Dr. Charles Joseph Seage, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5335 Lakeshore Blvd, Lakeport, CA 95453 Phone: 707-472-4596 Fax: 707-462-7078 | |
Dr. Diane Joan Pege, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5176 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-5117 Fax: 707-262-5094 | |
Anne E Tait, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 5150 Hill Rd E Ste C, Lakeport, CA 95453 Phone: 707-263-3520 Fax: 707-263-3570 | |
Dr. John Mathew Schweifler, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5150 Hill Rd E Ste B, Lakeport, CA 95453 Phone: 707-263-7082 | |
Dr. Fareed Ramzi Asfour, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5176 Hill Rd E, Lakeport, CA 95453 Phone: 628-600-3589 | |
Dr. Elyse Midori Donald, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5150 Hill Rd E Ste B, Lakeport, CA 95453 Phone: 707-263-7082 |