Dr Kevin Douglas Merrill, MD | |
710 Lawrence Expy, Santa Clara, CA 95051-5173 | |
(408) 851-4026 | |
(408) 851-4019 |
Full Name | Dr Kevin Douglas Merrill |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 710 Lawrence Expy, Santa Clara, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952440661 | NPI | - | NPPES |
09706 | Other | CA | PI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | A94502 (California) | Primary |
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 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin Douglas Merrill, MD 710 Lawrence Expy, Santa Clara, CA 95051-5173 Ph: (408) 851-4026 | Dr Kevin Douglas Merrill, MD 710 Lawrence Expy, Santa Clara, CA 95051-5173 Ph: (408) 851-4026 |
Rubin W. Kim, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Stuart Greene, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
John M. Lewis, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Rattehalli R. Sudesh, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Dr. Deborah Ann Gill, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 710 Lawrence Expy, Dept. 490, Santa Clara, CA 95051 Phone: 408-851-4100 Fax: 408-851-4019 | |
Jason L. Lauffer, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
David G. Scott, MD, PHD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 |