Dr Clyde J Ikeda, MD | |
1199 Bush St, Ste 640, San Francisco, CA 94109 | |
(415) 775-1199 | |
(415) 775-0360 |
Full Name | Dr Clyde J Ikeda |
---|---|
Gender | Male |
Speciality | Plastic Surgery |
Location | 1199 Bush St, San Francisco, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548232556 | NPI | - | NPPES |
7759618 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | G49242 (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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Dr Clyde J Ikeda, MD 1199 Bush St, Ste 640, San Francisco, CA 94109 Ph: (415) 775-1199 | Dr Clyde J Ikeda, MD 1199 Bush St, Ste 640, San Francisco, CA 94109 Ph: (415) 775-1199 |
Dr. Laura Wong, M.D./PH.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 513 Parnassus Ave, S-321, San Francisco, CA 94143 Phone: 415-476-1239 | |
Dr. Brian Michael Parrett, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 45 Castro St, San Francisco, CA 94114 Phone: 415-565-6888 | |
Jordan C Deschamps-braly, MD, FACS Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 360 Post St Ste 901, San Francisco, CA 94108 Phone: 415-624-3922 | |
Carrie Mccloskey, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 513 Parnassus Ave, S-321, San Francisco, CA 94143 Phone: 415-476-1239 | |
Alexander Irwin Murphy, Plastic Surgery Medicare: Medicare Enrolled Practice Location: 513 Parnassus Ave # S321, San Francisco, CA 94143 Phone: 610-952-0752 | |
Dr. James Peter Anthony, M.D., FACS Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 450 Sutter St, Suite 2630, San Francisco, CA 94108 Phone: 415-395-7323 | |
Gloria Sue, Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1001 Potrero Avenue, Building 5, #3m, San Francisco, CA 94110 Phone: 628-206-8814 |