Dr Gregory Broderick-villa, MD | |
365 Hawthorne Ave, 101, Oakland, CA 94609-3107 | |
(510) 465-5523 | |
Not Available |
Full Name | Dr Gregory Broderick-villa |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 23 Years |
Location | 365 Hawthorne Ave, Oakland, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376571562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A82944 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital - Walnut Creek | Walnut creek, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
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 |
Entity Name | Epic Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780107797 PECOS PAC ID: 5890053094 Enrollment ID: O20171215002809 |
Mailing Address | Practice Location Address |
---|---|
Dr Gregory Broderick-villa, MD 2345 Country Hills Dr, Antioch, CA 94509-7319 Ph: (925) 418-0278 | Dr Gregory Broderick-villa, MD 365 Hawthorne Ave, 101, Oakland, CA 94609-3107 Ph: (510) 465-5523 |
Dr. Cheryl Lin Park, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1411 E 31st St, Oakland, CA 94602 Phone: 510-437-4743 | |
Dr. Rachel Gomez, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1411 E 31st St, Department Of Surgery, Oakland, CA 94602 Phone: 510-437-4965 Fax: 510-437-5127 | |
Veronica C. Shim, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000 | |
Beverly L. Bolinger, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000 | |
Dr. Elizabeth L. Cureton, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000 Fax: 510-437-5127 | |
Steven T Yedlin, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3100 Telegraph Ave, 2nd Floor Bayside Medical Group, Oakland, CA 94609 Phone: 510-452-5231 Fax: 510-889-8392 | |
Collin A Mbanugo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3300 Webster St, Suite 900, Oakland, CA 94609 Phone: 510-272-9610 Fax: 510-272-9612 |