Chris A Kosakowski, MD | |
1111 Sonoma Ave, Ste 112, Santa Rosa, CA 95405-4813 | |
(707) 579-5520 | |
(707) 579-8820 |
Full Name | Chris A Kosakowski |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1111 Sonoma Ave, 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 |
---|---|---|---|
1497782239 | NPI | - | NPPES |
020052144 | Other | CA | RAILROAD MEDICARE |
00G494990 | Other | CA | BS OF CALIFORNIA |
00G494990 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0127X | Surgery - Trauma Surgery | G494990 (California) | Secondary |
208600000X | Surgery | G494990 (Colorado) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Chris A Kosakowski, MD 1111 Sonoma Ave, Ste 112, Santa Rosa, CA 95405-4813 Ph: (707) 579-5520 | Chris A Kosakowski, MD 1111 Sonoma Ave, Ste 112, Santa Rosa, CA 95405-4813 Ph: (707) 579-5520 |
Dr. Sabrina Ann Kidd, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000 | |
George M. Huang, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Lucinda Romero, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Elizabeth A Peralta, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3883 Airway Drive, Suite 201, Santa Rosa, CA 95403 Phone: 707-521-8900 Fax: 707-523-1309 | |
Brian Frederick Schmidt, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1701 4th St, Ste 200, Santa Rosa, CA 95404 Phone: 707-579-2100 Fax: 707-523-0616 | |
Brett J Schulte, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 121 Sotoyome St Ste 201, Santa Rosa, CA 95405 Phone: 707-579-2100 Fax: 707-523-0616 | |
Keith Forrest Korver, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3510 Unocal Pl Ste 207, Santa Rosa, CA 95403 Phone: 707-569-7860 Fax: 707-545-5408 |