Dr Michael Villongco, DO | |
801 11th St, Lakeport, CA 95453-4100 | |
(707) 263-3746 | |
Not Available |
Full Name | Dr Michael Villongco |
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Gender | Male |
Speciality | Family Medicine |
Location | 801 11th St, Lakeport, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1326530825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 20A21603 (California) | Primary |
Entity Name | Adventist Health Clearlake Hospital Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124018031 PECOS PAC ID: 3072421197 Enrollment ID: O20041112000573 |
Mailing Address | Practice Location Address |
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Dr Michael Villongco, DO 825 Crescent Ave, San Mateo, CA 94401-3707 Ph: (650) 892-8536 | Dr Michael Villongco, DO 801 11th St, Lakeport, CA 95453-4100 Ph: (707) 263-3746 |
Gary Lynn Maes, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5108 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-1840 Fax: 707-262-5844 | |
Alexander Iwan-smereka Ludwig, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 5196 Hill Rd E Ste 300, Lakeport, CA 95453 Phone: 707-263-6885 Fax: 707-263-6624 | |
Dr. Peter George Stanley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 166 D St, Lakeport, CA 95453 Phone: 707-263-1555 | |
David Betat, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 801 11th St, Lakeport, CA 95453 Phone: 707-413-3259 Fax: 707-413-3260 | |
Dr. Karen Tait, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 991 Parallel Dr Ste B, Lakeport, CA 95453 Phone: 707-263-8162 | |
Marc Seeley, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5196 Hill Rd E Ste 300, Lakeport, CA 95453 Phone: 707-263-6885 |