Bryan W Wahl, MD | |
2450 Ashby Ave, #1002, Berkeley, CA 94705-2067 | |
(510) 204-1893 | |
Not Available |
Full Name | Bryan W Wahl |
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Gender | Male |
Speciality | Internal Medicine |
Location | 2450 Ashby Ave, Berkeley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285794834 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | A74763 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Bryan W Wahl, MD 1 Lakeside Dr Apt 710, Oakland, CA 94612-4654 Ph: () - | Bryan W Wahl, MD 2450 Ashby Ave, #1002, Berkeley, CA 94705-2067 Ph: (510) 204-1893 |
Dr. Ellen C Morrissey, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2905 Telegraph Ave, Berkeley, CA 94705 Phone: 510-841-0411 Fax: 510-845-5030 | |
Gerald L. Meyers, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2450 Ashby Ave, Berkeley, CA 94705 Phone: 510-204-1894 Fax: 510-841-0435 | |
Dr. Josie A Tebben, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2905 Telegraph Ave, Berkeley, CA 94705 Phone: 510-841-0411 Fax: 510-845-5030 | |
Dr. David Harris Kadan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: U C Berkeley University Health, 2222 Bancroft Way, #4300, Berkeley, CA 94720 Phone: 510-642-2000 | |
Jenna T Dean, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2540 Ashby Ave, Room 5505, Berkeley, CA 94705 Phone: 510-204-4444 Fax: 510-649-8287 | |
Kavita S Patankar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2450 Ashby Ave Rm 5505, Berkeley, CA 94705 Phone: 510-204-4444 Fax: 510-649-8287 | |
Dr. John Edward Swartzberg, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 570 University Hall, University Of California, Berkeley, Berkeley, CA 94720 Phone: 510-643-0499 |