Bryan Philip Fong, MD | |
1425 S Main St, Walnut Creek, CA 94596-5318 | |
(925) 295-4000 | |
Not Available |
Full Name | Bryan Philip Fong |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 31 Years |
Location | 1425 S Main St, Walnut Creek, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033297163 | NPI | - | NPPES |
00G815040 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | G81504 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | Hospital |
Kaiser Foundation Hospital - Walnut Creek | Walnut creek, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
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 |
---|---|
Bryan Philip Fong, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Bryan Philip Fong, MD 1425 S Main St, Walnut Creek, CA 94596-5318 Ph: (925) 295-4000 |
Glenn D. Schneider, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 | |
Dr. Rahul Seth, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 355 Lennon Ln Ste 235, Walnut Creek, CA 94598 Phone: 925-357-9050 Fax: 925-357-9040 | |
Nicole Daamen, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 | |
Erica Christine Bennett, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 106 La Casa Via Ste 100, Walnut Creek, CA 94598 Phone: 925-239-2900 | |
Dr. Sarah Syed Connell, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4100 Fax: 925-295-5414 | |
Cornelius J.a. Jansen, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 |