Elizabeth G Dessouky, MD | |
99 Montecillo Rd, San Rafael, CA 94903-3308 | |
(415) 444-2000 | |
Not Available |
Full Name | Elizabeth G Dessouky |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 25 Years |
Location | 99 Montecillo Rd, San Rafael, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245314236 | NPI | - | NPPES |
00A876120 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | A87612 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital | San rafael, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth G Dessouky, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Elizabeth G Dessouky, MD 99 Montecillo Rd, San Rafael, CA 94903-3308 Ph: (415) 444-2000 |
Cheryl Kahn, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Victoria A. Clague, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Dr. Prasad Achuta Murthy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, Department Of Radiology, Kaiser San Rafael Hospital, San Rafael, CA 94903 Phone: 415-444-2066 | |
Adam F. Petras, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Linda K. Rubio, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Christopher Norman Cappelen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2966 |