Dr Charles R Merrill, MD | |
1400 E Church St, Santa Maria, CA 93454-5906 | |
(805) 739-3200 | |
(805) 739-3064 |
Full Name | Dr Charles R Merrill |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1400 E Church St, Santa Maria, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679504880 | NPI | - | NPPES |
00G396670 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G39667 (California) | Primary |
Entity Name | Mmc Emergency Physicians Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285670406 PECOS PAC ID: 7911809215 Enrollment ID: O20040927001225 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles R Merrill, MD Po Box 660580, Arcadia, CA 91066-0580 Ph: (626) 447-0296 | Dr Charles R Merrill, MD 1400 E Church St, Santa Maria, CA 93454-5906 Ph: (805) 739-3200 |
Simon Boughey, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2330 Westbury Way, Santa Maria, CA 93455 Phone: 805-937-1863 Fax: 805-937-4994 | |
Dr. David Aloysius Ketelaar, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 E Church St, Santa Maria, CA 93454 Phone: 805-739-3200 Fax: 805-739-3064 | |
Dr. Debra Lynn Weinstein, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 E Church St, Santa Maria, CA 93454 Phone: 805-739-3200 Fax: 805-739-3064 | |
Mellissa Sydney, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 E Church St, Santa Maria, CA 93454 Phone: 855-993-5209 | |
Dr. Gregory Scott Simmons, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 E Church St, Santa Maria, CA 93454 Phone: 805-739-3114 | |
Carsten Zieger, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2271 S Depot St, Santa Maria, CA 93455 Phone: 805-922-0561 | |
Guy Richard Bennallack Jr., DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 E Church St Bldg 8, Santa Maria, CA 93454 Phone: 805-739-3561 |