Dennis Yong Song, MD | |
1425 S Main St, Walnut Creek, CA 94596-5318 | |
(925) 295-5027 | |
Not Available |
Full Name | Dennis Yong Song |
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Gender | Male |
Speciality | Plastic Surgery |
Location | 1425 S Main St, Walnut Creek, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982874657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | MD423349 (Pennsylvania) | Secondary |
208200000X | Plastic Surgery | A101736 (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 |
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Dennis Yong Song, MD 1425 S Main St, Walnut Creek, CA 94596-5318 Ph: (925) 295-5027 | Dennis Yong Song, MD 1425 S Main St, Walnut Creek, CA 94596-5318 Ph: (925) 295-5027 |
Dr. Angela Song Landfair, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1425 S Main St Fl 3, Walnut Creek, CA 94596 Phone: 925-295-5885 | |
Dr. Bobby Glenn Aycock, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1855 San Miguel Dr, Suite 4, Walnut Creek, CA 94596 Phone: 925-937-8377 Fax: 925-937-8384 | |
Kevin Francis Degnan, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2021 Ygnacio Valley Rd, Building H. Suite 202, Walnut Creek, CA 94598 Phone: 925-935-4500 | |
Andre Alcon, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1425 S Main St Dept Of, Walnut Creek, CA 94596 Phone: 415-353-4285 | |
Dr. Bradford True Prescott, BRADFORD PRESCOTT Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 N Wiget Ln Ste 100, Walnut Creek, CA 94598 Phone: 925-935-9717 | |
D. Miller Wise, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 | |
Afshin Parhiscar, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1844 San Miguel Dr Ste 109, Walnut Creek, CA 94596 Phone: 925-380-6655 |