Darcene Melaac Munir, MD | |
5176 Hill Rd E, Lakeport, CA 95453-6300 | |
(818) 550-0900 | |
(303) 953-8260 |
Full Name | Darcene Melaac Munir |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Location | 5176 Hill Rd E, Lakeport, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740202761 | NPI | - | NPPES |
00G808850 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | G80885 (California) | Primary |
Entity Name | Snf Specialists Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497265565 PECOS PAC ID: 3678849049 Enrollment ID: O20171030003464 |
Mailing Address | Practice Location Address |
---|---|
Darcene Melaac Munir, MD Po Box 5486, Orange, CA 92863-5486 Ph: (818) 550-0900 | Darcene Melaac Munir, MD 5176 Hill Rd E, Lakeport, CA 95453-6300 Ph: (818) 550-0900 |
Dr. Frederick L Johnson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 987 Parallel Dr, Lakeport, CA 95453 Phone: 707-263-7428 Fax: 707-263-7425 | |
Dr. Kerry John Hollenbeck, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5176 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-5000 | |
Helen Vernetta Johnson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 987 Parallel Dr, Suite 104, Lakeport, CA 95453 Phone: 707-263-7428 Fax: 707-263-7425 | |
Harrison B Edgley Jr., M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5176 Hill Rd E, Lakeport, CA 95453 Phone: 888-453-6625 Fax: 818-550-0909 |