Debra Walhof, | |
250 Bon Air Rd, Greenbrae, CA 94904-1702 | |
(415) 448-1500 | |
(415) 892-8732 |
Full Name | Debra Walhof |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 250 Bon Air Rd, Greenbrae, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912900499 | NPI | - | NPPES |
G69664 | Other | CA | DHS LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | G069664 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
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 |
---|---|
Debra Walhof, 300 Professional Center Dr, Ste 311, Novato, CA 94947-4334 Ph: (415) 448-1500 | Debra Walhof, 250 Bon Air Rd, Greenbrae, CA 94904-1702 Ph: (415) 448-1500 |
Mrs. Kara Suzanne Ornstein, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1100 South Eliseo Dr, Ste #106, Greenbrae, CA 94904 Phone: 415-461-8828 Fax: 415-461-3772 | |
Andrew Chapman Saxon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 250 Bon Air Rd, Greenbrae, CA 94904 Phone: 415-925-7592 Fax: 415-925-7009 | |
Ms. Jane Marten Meill, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1100 South Eliseo Dr, Ste #106, Greenbrae, CA 94904 Phone: 415-461-8828 Fax: 415-461-3772 | |
Mrs. Judith Mary Flannery, P.N.P. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 250 Bon Air Rd, Greenbrae, CA 94904 Phone: 415-448-1500 Fax: 415-461-4229 | |
Martin Joffe, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 S Eliseo Dr, Suite 1a, Greenbrae, CA 94904 Phone: 415-461-5436 | |
Dr. Alice Cantwell Brock-utne, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 250 Bon Air Rd, Greenbrae, CA 94904 Phone: 415-448-1500 Fax: 415-461-4229 | |
Michelle Dominique Perro, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 S Eliseo Dr, Suite 120, Greenbrae, CA 94904 Phone: 415-451-9476 Fax: 415-451-4977 |