Christopher Robshaw, MD | |
510 Cypress St Ste D, Fort Bragg, CA 95437-5411 | |
(707) 964-1251 | |
Not Available |
Full Name | Christopher Robshaw |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 510 Cypress St Ste D, Fort Bragg, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932178449 | NPI | - | NPPES |
G154020 | Other | CA | MEDICAL LICENSE |
12196 | Other | FL | BCBS PROVIDER # |
053189800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME53708 (Florida) | Secondary |
208000000X | Pediatrics | G154020 (California) | Primary |
Entity Name | Mendocino Coast Clinics, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609595404 PECOS PAC ID: 5991619157 Enrollment ID: O20050512001033 |
Mailing Address | Practice Location Address |
---|---|
Christopher Robshaw, MD 205 South St, Fort Bragg, CA 95437-5540 Ph: (707) 964-1251 | Christopher Robshaw, MD 510 Cypress St Ste D, Fort Bragg, CA 95437-5411 Ph: (707) 964-1251 |
Dr. William Matthew Mahon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 510 Cypress St Ste D, Fort Bragg, CA 95437 Phone: 707-964-5696 Fax: 707-964-6274 | |
Dr. Jeffrey Malcolm Kraut, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 510 Cypress St Ste D, Fort Bragg, CA 95437 Phone: 707-964-5696 Fax: 707-964-6274 | |
Mr. Donavan D Spencer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 205 South St, Fort Bragg, CA 95437 Phone: 707-964-1251 | |
Gayle Holderness Tyerman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 510 Cypress St Ste D, Fort Bragg, CA 95437 Phone: 707-357-1001 | |
Dr. Prakash P Devaskar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 River Dr, Fort Bragg, CA 95437 Phone: 707-961-4631 Fax: 707-964-1192 |