Elizabeth P Tito, MD | |
121 Sotoyome St Ste 203, Santa Rosa, CA 95405-4822 | |
(707) 525-6180 | |
(707) 545-1145 |
Full Name | Elizabeth P Tito |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 32 Years |
Location | 121 Sotoyome St Ste 203, Santa Rosa, 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 |
---|---|---|---|
1629092309 | NPI | - | NPPES |
2100746 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 213256 (Massachusetts) | Secondary |
208600000X | Surgery | G148486 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
Adventist Health St Helena | Saint helena, CA | Hospital |
Petaluma Valley Hospital | Petaluma, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Adventist Health Physicians Network | 3274580972 | 544 |
Providence Medical Foundation | 8921993205 | 1312 |
Entity Name | Providence Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Entity Name | St. Helena Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720078082 PECOS PAC ID: 8729059878 Enrollment ID: O20040803001176 |
Entity Name | Adventist Health Physicians Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth P Tito, MD 121 Sotoyome St Ste 203, Santa Rosa, CA 95405-4822 Ph: () - | Elizabeth P Tito, MD 121 Sotoyome St Ste 203, Santa Rosa, CA 95405-4822 Ph: (707) 525-6180 |
Dr. Sabrina Ann Kidd, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000 | |
George M. Huang, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Lucinda Romero, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Elizabeth A Peralta, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3883 Airway Drive, Suite 201, Santa Rosa, CA 95403 Phone: 707-521-8900 Fax: 707-523-1309 | |
Brian Frederick Schmidt, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1701 4th St, Ste 200, Santa Rosa, CA 95404 Phone: 707-579-2100 Fax: 707-523-0616 | |
Brett J Schulte, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 121 Sotoyome St Ste 201, Santa Rosa, CA 95405 Phone: 707-579-2100 Fax: 707-523-0616 | |
Keith Forrest Korver, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3510 Unocal Pl Ste 207, Santa Rosa, CA 95403 Phone: 707-569-7860 Fax: 707-545-5408 |