Evan Taylor Wythe, MD | |
20103 Lake Chabot Rd, Castro Valley, CA 94546-5341 | |
(209) 342-2300 | |
(209) 524-4240 |
Full Name | Evan Taylor Wythe |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 43 Years |
Location | 20103 Lake Chabot Rd, Castro Valley, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013908433 | NPI | - | NPPES |
00G522840 | Medicaid | CA | |
00G522840 | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G52284 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chinese Hospital | San francisco, CA | Hospital |
Regional Medical Center Of San Jose | San jose, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Solano Gateway Medical Group, Inc. | 5496725418 | 39 |
California Emergency Associates,a California Medical Corporation | 9830426295 | 14 |
Entity Name | Eden Emergency Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891786240 PECOS PAC ID: 7012802333 Enrollment ID: O20040217000163 |
Entity Name | Emergency Physicians Associates Overhead Operating Account Dennis Belo |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013969153 PECOS PAC ID: 0547230708 Enrollment ID: O20040727000859 |
Entity Name | Solano Gateway Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952344293 PECOS PAC ID: 5496725418 Enrollment ID: O20040916001355 |
Entity Name | Siskiyou Hospital Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1093892275 PECOS PAC ID: 1254223134 Enrollment ID: O20071213000624 |
Entity Name | Big River Emergency Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033501168 PECOS PAC ID: 2466764303 Enrollment ID: O20150706002430 |
Entity Name | Emergency Physicians Associates San Jose Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306311576 PECOS PAC ID: 8921344292 Enrollment ID: O20190107003386 |
Entity Name | California Emergency Associates,a California Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437611936 PECOS PAC ID: 9830426295 Enrollment ID: O20190807002329 |
Mailing Address | Practice Location Address |
---|---|
Evan Taylor Wythe, MD 4301 Northstar Way, Modesto, CA 95356-9262 Ph: (209) 342-2300 | Evan Taylor Wythe, MD 20103 Lake Chabot Rd, Castro Valley, CA 94546-5341 Ph: (209) 342-2300 |
Thomas Eales, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 510-727-3320 Fax: 317-963-5394 | |
Dr. Emily Rose Nelson, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 651-249-4082 | |
Adria Simon, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 510-727-3015 Fax: 626-623-1227 | |
Dr. Rahim James Sharifi, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20101 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 510-247-6300 | |
Ralph James Damato, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 209-342-2300 Fax: 209-524-4240 | |
Rochelle Ana Eggleston Philapil, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 209-342-2300 Fax: 209-524-4240 |