Dr Maria M Petrick, MD | |
130 Stony Point Rd, Suite E, Santa Rosa, CA 95401-4120 | |
(707) 525-0211 | |
(707) 525-0491 |
Full Name | Dr Maria M Petrick |
---|---|
Gender | Female |
Speciality | Allergy/immunology |
Experience | 27 Years |
Location | 130 Stony Point Rd, Santa Rosa, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396743605 | NPI | - | NPPES |
000000514027 | Other | KY | ANTHEM PIN |
HKRAA3F00 | Other | HIN NUMBER | |
P00411953 | Other | KY | RAILROAD MEDICARE |
ZZZ95243Z | Other | MEDICARE PTAN | |
200855600 | Medicaid | IN | |
7100013590 | Medicaid | KY | |
50015240 | Other | KY | PASSPORT |
GR0061440 | Medicaid | CA |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allergy And Asthma Adult And Pediatric Medical Group Of The Redwoods I | 8921084773 | 3 |
Entity Name | Allergy & Asthma Adult & Pediatric Medical Group Of The Redwoods Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730257932 PECOS PAC ID: 8921084773 Enrollment ID: O20110209000107 |
Mailing Address | Practice Location Address |
---|---|
Dr Maria M Petrick, MD 130 Stony Point Rd, Suite E, Santa Rosa, CA 95401-4120 Ph: (707) 525-0211 | Dr Maria M Petrick, MD 130 Stony Point Rd, Suite E, Santa Rosa, CA 95401-4120 Ph: (707) 525-0211 |
Mr. Michael E Martin, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 2461 Summerfield Rd, Santa Rosa, CA 95405 Phone: 707-525-0211 Fax: 707-525-0491 | |
Dr. Kenneth M. Kurtz, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Albert Haas Iii, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Christine Anne Royer, M.D. Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 130 Stony Point Rd Ste E, Santa Rosa, CA 95401 Phone: 707-525-0211 | |
Juline Natalia Caraballo Fonseca, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 130 Stony Point Rd Ste E, Santa Rosa, CA 95401 Phone: 707-525-0211 Fax: 707-525-0491 |