Charles J Meltzer, MD | |
401 Bicentennial Way, Santa Rosa, CA 95403-2149 | |
(707) 571-4000 | |
Not Available |
Full Name | Charles J Meltzer |
---|---|
Gender | Male |
Speciality | Otolaryngology |
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 |
---|---|---|---|
1235213232 | NPI | - | NPPES |
00G649060 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | G64906 (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 |
---|---|
Charles J Meltzer, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Charles J Meltzer, MD 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 571-4000 |
Dr. William Arnold Combs, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1701 4th St Ste 120, Santa Rosa, CA 95404 Phone: 707-523-7025 | |
Dr. Victor G Lacombe, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1002 Mendocino Ave, Santa Rosa, CA 95401 Phone: 707-577-8292 Fax: 707-575-3941 | |
Stefan M Zechowy, M.D. Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 1701 4th St, Ste 120, Santa Rosa, CA 95404 Phone: 707-523-7025 Fax: 707-523-3024 | |
Annick Aubin-pouliot, Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 1701 4th St Ste 120, Santa Rosa, CA 95404 Phone: 707-523-7025 Fax: 707-523-3024 | |
Dr. Richard Turley, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-393-4409 | |
Mark R Homicz, M.D. Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 1701 4th St Ste 120, Santa Rosa, CA 95404 Phone: 707-523-7025 Fax: 707-523-3024 |