Edward Verceles Jr, DO | |
411 30th St Ste 314, Oakland, CA 94609-3312 | |
(530) 400-2463 | |
Not Available |
Full Name | Edward Verceles Jr |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 411 30th St Ste 314, Oakland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215258371 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 20A12997 (California) | Primary |
Entity Name | Carbon Health Medical Group Of California Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417294232 PECOS PAC ID: 9032340047 Enrollment ID: O20140314001276 |
Mailing Address | Practice Location Address |
---|---|
Edward Verceles Jr, DO 155 Saint Germain Ln, Pleasant Hill, CA 94523-1135 Ph: (530) 400-2463 | Edward Verceles Jr, DO 411 30th St Ste 314, Oakland, CA 94609-3312 Ph: (530) 400-2463 |
Dr. Michael Mustille, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6201 Swainland Rd, Oakland, CA 94611 Phone: 510-652-9896 Fax: 510-652-9896 | |
Linda Law, General Practice Medicare: Not Enrolled in Medicare Practice Location: 250 E 18th St Fl 2, Oakland, CA 94606 Phone: 510-735-3853 | |
Dr. Ryan H Lee, General Practice Medicare: Not Enrolled in Medicare Practice Location: 1411 E 31st St, Qic 22134, 3rd Floor, Oakland, CA 94602 Phone: 510-437-4089 Fax: 510-437-5017 | |
Dr. Mabel Audrey Lim, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 638 Webster St # 450, Oakland, CA 94607 Phone: 510-832-8819 Fax: 510-835-4051 | |
Horng D Fan, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 2648 International Blvd, Ste 501, Oakland, CA 94601 Phone: 510-533-8488 Fax: 510-533-8402 | |
Owen Shibata, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 2100 Embarcadero, Oakland, CA 94606 Phone: 800-268-4420 |