Dr Pierre R Theodore, MD | |
1600 Divisadero St, San Francisco, CA 94143-0001 | |
(415) 353-9888 | |
(415) 885-3586 |
Full Name | Dr Pierre R Theodore |
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Gender | Male |
Speciality | Surgery |
Location | 1600 Divisadero St, San Francisco, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811952054 | NPI | - | NPPES |
00A867000 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A86700 (California) | Primary |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | A86700 (California) | Secondary |
Entity Name | Stanford Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
Entity Name | University Of California Sfgh Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477528503 PECOS PAC ID: 5496668410 Enrollment ID: O20050328001092 |
Mailing Address | Practice Location Address |
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Dr Pierre R Theodore, MD 1635 Divisadero St, Ste 625, Box 1821, San Francisco, CA 94143-0001 Ph: () - | Dr Pierre R Theodore, MD 1600 Divisadero St, San Francisco, CA 94143-0001 Ph: (415) 353-9888 |
Dr. Allan Marc Conway, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 Parnassus Ave Ste A, San Francisco, CA 94143 Phone: 415-353-2537 Fax: 415-353-2669 | |
Dr. Marissa A Boeck, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 Parnassus Ave, San Francisco, CA 94143 Phone: 415-353-2161 | |
Alan Zambeli-ljepovic, Surgery Medicare: Medicare Enrolled Practice Location: 513 Parnassus Ave, San Francisco, CA 94143 Phone: 415-476-1239 | |
Dr. Sang-mo Kang, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 Parnassus Ave, San Francisco, CA 94143 Phone: 415-476-1551 Fax: 415-353-8917 | |
Julia Chandler, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1825 4th St, 3rd Floor Box 1710, San Francisco, CA 94143 Phone: 415-353-7070 | |
Timothy A Chuter, MD Surgery Medicare: Medicare Enrolled Practice Location: 400 Parnassus Ave, San Francisco, CA 94143 Phone: 415-353-4366 Fax: 415-353-4370 | |
Rebecca Plevin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 Potrero Ave, Rm 3a37, San Francisco, CA 94110 Phone: 206-543-3680 |