Dr Crystine M Lee, MD | |
1055 Broadway Ste A, Sonoma, CA 95476-7467 | |
(866) 441-0570 | |
Not Available |
Full Name | Dr Crystine M Lee |
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Gender | Female |
Speciality | Surgery |
Location | 1055 Broadway Ste A, Sonoma, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508853896 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A65187 (California) | Primary |
208600000X | Surgery | 065187 (California) | Secondary |
Entity Name | Marin Surgical Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508007535 PECOS PAC ID: 0840341947 Enrollment ID: O20090701000295 |
Entity Name | Prima Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811217946 PECOS PAC ID: 6406040138 Enrollment ID: O20101027000334 |
Mailing Address | Practice Location Address |
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Dr Crystine M Lee, MD 5 Eagle Gap Rd, Novato, CA 94949-6672 Ph: (486) 644-1057 | Dr Crystine M Lee, MD 1055 Broadway Ste A, Sonoma, CA 95476-7467 Ph: (866) 441-0570 |
Dr. Scott Vernon Perryman, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 651 1st St W, Ste K, Sonoma, CA 95476 Phone: 707-938-3870 Fax: 707-938-3076 | |
Dr. Alexis Regina Alexandridis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 246 Perkins St, Sonoma, CA 95476 Phone: 707-938-7690 Fax: 707-581-1700 | |
Dr. Russell Wayne Sawyer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 246 Perkins St, Sonoma, CA 95476 Phone: 707-938-7690 Fax: 844-581-1700 |