Dr K Daniel Rose, MD | |
4050 W Soda Rock Ln, Healdsburg, CA 95448-9631 | |
(707) 433-5667 | |
(707) 473-4405 |
Full Name | Dr K Daniel Rose |
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Gender | Male |
Speciality | Family Medicine |
Location | 4050 W Soda Rock Ln, Healdsburg, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790704518 | NPI | - | NPPES |
G25578 | Other | CA | MEDICAL LICENSE |
00G255780 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G25578 (California) | Primary |
Entity Name | North Sonoma County Health Care District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194824573 PECOS PAC ID: 4789594367 Enrollment ID: O20060406000251 |
Entity Name | Norcal Healthconnect Llc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1861009672 PECOS PAC ID: 2466864038 Enrollment ID: O20201225000001 |
Entity Name | Norcal Healthconnect Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720695547 PECOS PAC ID: 2466864038 Enrollment ID: O20210308001127 |
Mailing Address | Practice Location Address |
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Dr K Daniel Rose, MD 4050 W Soda Rock Ln, Healdsburg, CA 95448-9631 Ph: (707) 433-5667 | Dr K Daniel Rose, MD 4050 W Soda Rock Ln, Healdsburg, CA 95448-9631 Ph: (707) 433-5667 |
Dr. James Francis Dolan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 764 Alexander Valley Rd, Healdsburg, CA 95448 Phone: 530-848-0546 | |
Maria Isabel Garcia, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1381 University St, Healdsburg, CA 95448 Phone: 707-431-8234 Fax: 707-431-1427 | |
Michael A. Sweeney, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 717 Center St, Healdsburg, CA 95448 Phone: 707-541-7700 Fax: 707-573-5415 | |
Ember Keighley, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1381 University St, Healdsburg, CA 95448 Phone: 707-433-5494 | |
Jeffrey Elliot Meckler, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1381 University St, Healdsburg, CA 95448 Phone: 707-431-8234 Fax: 707-431-1427 | |
Gary Pace, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1381 University St, Healdsburg, CA 95448 Phone: 707-433-5494 Fax: 707-431-8649 | |
Dr. Richard Joseph Andolsen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 465 March Ave, Suite A, Healdsburg, CA 95448 Phone: 707-433-3369 Fax: 707-433-7013 |