Dr Michael Lane Ginsberg, MD | |
2458 Hilborn Rd, Fairfield, CA 94534-1072 | |
(707) 646-5500 | |
(707) 646-5501 |
Full Name | Dr Michael Lane Ginsberg |
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Gender | Male |
Speciality | Pediatrics - Adolescent Medicine |
Location | 2458 Hilborn Rd, Fairfield, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710128558 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | A106486 (California) | Primary |
2080A0000X | Pediatrics - Adolescent Medicine | 250559 (New York) | Secondary |
Entity Name | Northbay Healthcare Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821147786 PECOS PAC ID: 0042122244 Enrollment ID: O20031105000409 |
Mailing Address | Practice Location Address |
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Dr Michael Lane Ginsberg, MD 2458 Hilborn Rd, Fairfield, CA 94534-1072 Ph: (707) 646-5500 | Dr Michael Lane Ginsberg, MD 2458 Hilborn Rd, Fairfield, CA 94534-1072 Ph: (707) 646-5500 |
Imelda Maria C. Tandinco, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2101 Courage Dr, Fairfield, CA 94533 Phone: 707-784-2012 | |
Megan Connick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 470 Chadbourne Rd Ste A, Fairfield, CA 94534 Phone: 707-419-8988 Fax: 707-254-1779 | |
Christi Klimisch Lombre, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1550 Gateway Blvd, Fairfield, CA 94533 Phone: 707-427-4048 Fax: 707-427-4385 | |
Dr. Alok K. Bose, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5030 Business Center Dr, Suite 230, Fairfield, CA 94534 Phone: 707-863-8190 Fax: 707-863-8193 | |
Daniel A. Schleske, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1550 Gateway Blvd, Fairfield, CA 94533 Phone: 707-427-4000 | |
Dr. Henry H Collins, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1234 Empire St, Fairfield, CA 94533 Phone: 707-426-3911 Fax: 707-434-2090 | |
Kimberly Joanna Wolf, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2201 Courage Dr, Fairfield, CA 94533 Phone: 707-469-4640 |