Dr Chad Blaise Krilich, MD | |
401 Bicentennial Way, Santa Rosa, CA 95403-2149 | |
(253) 677-1625 | |
Not Available |
Full Name | Dr Chad Blaise Krilich |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 401 Bicentennial Way, Santa Rosa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932115771 | NPI | - | NPPES |
8389223 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00042765 (Washington) | Primary |
Entity Name | Multicare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Dr Chad Blaise Krilich, MD 5656 Eastlake Dr, Santa Rosa, CA 95409-3075 Ph: (253) 677-1625 | Dr Chad Blaise Krilich, MD 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (253) 677-1625 |
Dr. Lyman Bowen Greaves Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3569 Round Barn Cir, Santa Rosa, CA 95403 Phone: 707-303-3600 Fax: 707-303-3611 | |
Ellen Betty Kruusmagi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 144 Stony Point Rd, Santa Rosa, CA 95401 Phone: 707-521-4500 Fax: 707-544-4626 | |
Dr. Lucia Dei Roncalli, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Sundown Trl, Santa Rosa, CA 95404 Phone: 510-407-4697 | |
Dr. Michael G Carlston, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2448 Guerneville Rd, Suite 900, Santa Rosa, CA 95403 Phone: 707-545-1554 Fax: 707-545-1595 | |
Anthony K. Boyce, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Richard L. Holve, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Leo Arthur Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Doyle Park Dr, Suite G-04, Santa Rosa, CA 95405 Phone: 707-303-8360 Fax: 707-303-8361 |