Dr Michael Thornton Longaker, MD MBA | |
257 Campus Dr, Stanford, CA 94305-5101 | |
(650) 736-1707 | |
(650) 736-1705 |
Full Name | Dr Michael Thornton Longaker |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 40 Years |
Location | 257 Campus Dr, Stanford, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427183672 | NPI | - | NPPES |
00G573620 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | G57362 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Stanford Health Care | Stanford, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Stanford Health Care | 6709797491 | 2579 |
Entity Name | Stanford Health Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Thornton Longaker, MD MBA 55 Shearer Dr, Atherton, CA 94027-3935 Ph: (650) 365-4838 | Dr Michael Thornton Longaker, MD MBA 257 Campus Dr, Stanford, CA 94305-5101 Ph: (650) 736-1707 |
Dr. Jennifer L Weintraub, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-5824 | |
Nicholas Chang Bene, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Dr. Angeline F Lim, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-6661 | |
Adam Bryan Wallace, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 |