Chanh Do, DO | |
401 Bicentennial Way, Santa Rosa, CA 95403-2149 | |
(707) 571-5880 | |
Not Available |
Full Name | Chanh Do |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 401 Bicentennial Way, Santa Rosa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902950934 | NPI | - | NPPES |
036065498 | Medicaid | IL | |
098419 | Other | IL | HEALTH ALLIANCE - KCH |
100467 | Other | IL | HEALTH ALLIANCE - VWCH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036065498 (Illinois) | Secondary |
207P00000X | Emergency Medicine | 20A9226 (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 |
---|---|
Chanh Do, DO 47 Wawona St, San Francisco, CA 94127-1118 Ph: (708) 466-6100 | Chanh Do, DO 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 571-5880 |
Barry Smith, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Santa Rosa Memorial Hospital, 1165 Montgomery Drive, Santa Rosa, CA 95405 Phone: 707-522-1573 | |
Dr. Ridgely Oliver Muller, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-525-5207 Fax: 626-397-5643 | |
John Tate Higgins, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-393-4044 | |
James John Mc Keith, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1165 Montgomery Dr, Santa Rosa Memorial Hospital, Santa Rosa, CA 95405 Phone: 707-525-5207 | |
Christina Marie Goodwin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1165 Montgomery Dr, M/s 1w04, Santa Rosa, CA 95405 Phone: 707-547-5471 Fax: 707-525-5280 | |
Daniel T Matulich, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1165 Montgomery Dr, Santa Rosa Memorial Hospital, Santa Rosa, CA 95405 Phone: 707-552-1573 | |
Yizza Narvaez, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-684-1538 |