Dr Kendrick E Lee, MD | |
3315 Broadway, Oakland, CA 94611-5717 | |
(510) 486-2300 | |
(510) 486-2333 |
Full Name | Dr Kendrick E Lee |
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Gender | Male |
Speciality | Orthopaedic Surgery - Hand Surgery |
Location | 3315 Broadway, Oakland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508833377 | NPI | - | NPPES |
00G626680 | Medicaid | CA | |
200018919 | Other | CA | RAIL ROAD MEDICARE |
00G626680 | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XS0106X | Orthopaedic Surgery - Hand Surgery | G62668 (California) | Primary |
Entity Name | Webster Orthopaedic Medical Group, A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316914385 PECOS PAC ID: 9830098037 Enrollment ID: O20040206000671 |
Mailing Address | Practice Location Address |
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Dr Kendrick E Lee, MD 200 Porter Dr, Suite 101, San Ramon, CA 94583-1587 Ph: (925) 838-1440 | Dr Kendrick E Lee, MD 3315 Broadway, Oakland, CA 94611-5717 Ph: (510) 486-2300 |
George A. Pugh, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 80 Grand Ave Fl 5, Oakland, CA 94612 Phone: 510-451-6266 Fax: 510-451-6260 | |
Dr. Christopher A Cox, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1800 Harrison St Fl 7, Oakland, CA 94612 Phone: 925-295-4000 | |
Austin Arlo Pitcher, MD, PHD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3315 Broadway, Oakland, CA 94611 Phone: 925-939-8585 | |
Dr. James Lyman Shively, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3000 | |
Dr. Eric O. Eisemon, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000 | |
Dr. Wayne Pan, MD, PHD, MBA Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 5901 Vallejo St Apt D, Oakland, CA 94608 Phone: 650-922-8131 | |
Jeffrey A. Mann, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 350 30th St Ste 530, Oakland, CA 94609 Phone: 510-422-5150 Fax: 510-422-5149 |