Dr Marjorie Frost Mccracken, MD PHD | |
2577 Samaritan Dr, Ste 815, San Jose, CA 95124 | |
(408) 358-3573 | |
(408) 356-2888 |
Full Name | Dr Marjorie Frost Mccracken |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Gastroenterology |
Location | 2577 Samaritan Dr, San Jose, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043327570 | NPI | - | NPPES |
770558210 | Other | CA | FEDERAL TAX ID |
00G565360 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0206X | Pediatrics - Pediatric Gastroenterology | G59536 (California) | Primary |
Entity Name | Ucsf Pediatrics Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376614016 PECOS PAC ID: 6204749112 Enrollment ID: O20031106000823 |
Entity Name | University Of California San Francisco |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
Entity Name | Ucsf Medical Group Business Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
Mailing Address | Practice Location Address |
---|---|
Dr Marjorie Frost Mccracken, MD PHD 2577 Samaritan Dr, Ste 815, San Jose, CA 95124 Ph: (408) 358-3573 | Dr Marjorie Frost Mccracken, MD PHD 2577 Samaritan Dr, Ste 815, San Jose, CA 95124 Ph: (408) 358-3573 |
Dr. Thanhmai Duong, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3500 Zanker Rd, San Jose, CA 95134 Phone: 408-451-6198 | |
Dr. Rita Roop Thakur, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 636 E Santa Clara St, San Jose, CA 95112 Phone: 408-307-2123 | |
Dr. Louis Edwin Girling Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 720 Empey Way, San Jose, CA 95128 Phone: 408-793-6230 | |
Dr. Jerry Mercado, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2505 Samaritan Drive, Suite 304, San Jose, CA 95124 Phone: 408-377-8100 | |
Dr. Perry F Lim, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1206 N Capitol Ave, Suite 204, San Jose, CA 95132 Phone: 408-929-2276 | |
Mrs. Latha B Vrittamani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2505 Samaritan Drive, Ste 607, San Jose, CA 95124 Phone: 408-356-9900 Fax: 408-356-9939 | |
Venny V. Lee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000 |