Dr Keith Phillip Donald, MD | |
5196 Hill Rd E, Suite 201, Lakeport, CA 95453-6360 | |
(707) 263-4108 | |
(707) 263-4101 |
Full Name | Dr Keith Phillip Donald |
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Gender | Male |
Speciality | General Surgery |
Experience | 36 Years |
Location | 5196 Hill Rd E, Lakeport, 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 |
---|---|---|---|
1285768234 | NPI | - | NPPES |
00G766411 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | G76641 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sutter Lakeside Hospital | Lakeport, CA | Hospital |
Entity Name | Acute Care Surgery Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700069549 PECOS PAC ID: 7214006816 Enrollment ID: O20080522000355 |
Entity Name | Surgical Affiliates Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932440781 PECOS PAC ID: 3375782667 Enrollment ID: O20130618000127 |
Mailing Address | Practice Location Address |
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Dr Keith Phillip Donald, MD 5196 Hill Rd E, Suite 201, Lakeport, CA 95453-6360 Ph: (707) 263-4108 | Dr Keith Phillip Donald, MD 5196 Hill Rd E, Suite 201, Lakeport, CA 95453-6360 Ph: (707) 263-4108 |
Dr. Kraivit Angsupanich, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 801 11th St, Suite 1, Lakeport, CA 95453 Phone: 707-262-5568 Fax: 707-263-6888 | |
Stephen Peter Bradley, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5375 Lakeshore Blvd, Lakeport, CA 95453 Phone: 707-263-5679 Fax: 707-263-7781 |