Douglas S Holsclaw, MD | |
1150 Veterans Blvd, Redwood City, CA 94063-2037 | |
(650) 299-2000 | |
Not Available |
Full Name | Douglas S Holsclaw |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 1150 Veterans Blvd, Redwood City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225100043 | NPI | - | NPPES |
00G786010 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | G78601 (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 |
---|---|
Douglas S Holsclaw, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Douglas S Holsclaw, MD 1150 Veterans Blvd, Redwood City, CA 94063-2037 Ph: (650) 299-2000 |
Ronald B. Melles, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
Paul C. Chen, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
Henry Y Upton, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 805 Veterans Blvd, Suite 125, Redwood City, CA 94063 Phone: 650-368-3937 Fax: 650-368-0270 | |
Dr. Theresa Thu Thao Nguyen, D.O. Ophthalmology Medicare: Medicare Enrolled Practice Location: 905 Maple St, Redwood City, CA 94063 Phone: 650-299-2066 | |
William J. Chang, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
James E. Tearse, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1391 Woodside Rd., Suite 200, Redwood City, CA 94061 Phone: 650-368-3937 Fax: 650-368-0270 |