Dr Danny Leroy Lickness, MD | |
35 Casa Street, Suite 220, San Luis Obispo, CA 93405-1890 | |
(805) 786-4111 | |
(805) 543-6357 |
Full Name | Dr Danny Leroy Lickness |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 35 Casa Street, San Luis Obispo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275553653 | NPI | - | NPPES |
00G449860 | Medicaid | CA | |
CB221890 | Other | CA | MEDICARE ID |
GR0092202 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | G44986 (California) | Primary |
Entity Name | Obhg California Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215258892 PECOS PAC ID: 8729276795 Enrollment ID: O20101217000826 |
Mailing Address | Practice Location Address |
---|---|
Dr Danny Leroy Lickness, MD 117 West Bunny Avenue, Santa Maria, CA 93458-2805 Ph: (805) 786-4111 | Dr Danny Leroy Lickness, MD 35 Casa Street, Suite 220, San Luis Obispo, CA 93405-1890 Ph: (805) 786-4111 |
Dr. Bernd Schumacher, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 35 Casa St, Suite 270, San Luis Obispo, CA 93405 Phone: 805-546-2057 Fax: 805-784-0895 | |
Dr. Alex John Steinleitner, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 21 Santa Rosa St, Suite 200, San Luis Obispo, CA 93405 Phone: 805-543-2228 Fax: 805-269-0226 | |
Dr. Aaron D. Kromhout, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1941 Johnson Ave, Suite 202, San Luis Obispo, CA 93401 Phone: 805-548-0033 Fax: 805-548-0034 | |
Dr. Heidi Sungurlu, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 35 Casa St, Ste 130, San Luis Obispo, CA 93405 Phone: 805-595-1808 Fax: 805-595-1815 | |
Anna Bobba, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1551 Bishop St Ste B260, San Luis Obispo, CA 93401 Phone: 805-549-0402 Fax: 805-549-0465 | |
Dr. Vivian Storrer, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1941 Johnson Ave, Suite 301, San Luis Obispo, CA 93401 Phone: 805-739-3474 | |
Dr. Kurt Haupt, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 35 Casa St, Suite 220, San Luis Obispo, CA 93405 Phone: 805-786-4111 Fax: 805-543-6357 |