Dr Lawrence Joseph Manhart Jr, MD | |
1600 Eureka Rd, Mob 2 - Pediatric Specialties, Roseville, CA 95661-3027 | |
(916) 474-2215 | |
Not Available |
Full Name | Dr Lawrence Joseph Manhart Jr |
---|---|
Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 1600 Eureka Rd, Roseville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265413488 | NPI | - | NPPES |
00A692560 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | A69256 (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 |
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Dr Lawrence Joseph Manhart Jr, MD 1600 Eureka Rd, Mob 2 - Pediatric Specialties, Roseville, CA 95661-3027 Ph: (916) 474-2215 | Dr Lawrence Joseph Manhart Jr, MD 1600 Eureka Rd, Mob 2 - Pediatric Specialties, Roseville, CA 95661-3027 Ph: (916) 474-2215 |
Dr. Morgan O'connor, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1528 Eureka Rd Ste 103, Roseville, CA 95661 Phone: 916-772-5325 | |
Mr. Moola Prabhakar Reddy, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1528 Eureka Rd Ste 103, Roseville, CA 95661 Phone: 916-772-5325 Fax: 916-772-6333 | |
Christopher Brophy, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 729 Sunrise Ave Ste 602, Roseville, CA 95661 Phone: 916-953-7571 Fax: 916-771-8515 | |
Dr. Ryan James Hagens, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1528 Eureka Rd, Roseville, CA 95661 Phone: 916-772-5325 Fax: 916-772-5325 | |
Dr. Robert Addison Mcauley, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 729 Sunrise Ave Ste 200, Roseville, CA 95661 Phone: 916-781-7882 Fax: 916-781-3787 | |
Jason Andrade, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1528 Eureka Rd Ste 103, Roseville, CA 95661 Phone: 916-772-5325 |