Elizabeth Seidler, MD | |
3400 Delta Fair Blvd, Antioch, CA 94509-4004 | |
(925) 779-5187 | |
Not Available |
Full Name | Elizabeth Seidler |
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Gender | Female |
Speciality | Dermatology |
Location | 3400 Delta Fair Blvd, Antioch, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790005015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 130692 (California) | Primary |
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
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Elizabeth Seidler, MD 3400 Delta Fair Blvd, Antioch, CA 94509-4004 Ph: (925) 779-5187 | Elizabeth Seidler, MD 3400 Delta Fair Blvd, Antioch, CA 94509-4004 Ph: (925) 779-5187 |
Dr. Philip Song, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-817-5600 | |
Philip F. Nelson, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 5601 Deer Valley Rd, Antioch, CA 94531 Phone: 925-813-6500 | |
Dr. Noel Tsun-dah Chiu, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3436 Hillcrest Ave, Suite 150, Antioch, CA 94531 Phone: 925-754-6767 |