George Papanicolaou, MD | |
975 Sereno Dr, Vallejo, CA 94589-2441 | |
(707) 651-1000 | |
Not Available |
Full Name | George Papanicolaou |
---|---|
Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 975 Sereno Dr, Vallejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154495471 | NPI | - | NPPES |
00C432900 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | C43290 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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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 |
---|---|
George Papanicolaou, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262 | George Papanicolaou, MD 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-1000 |
John S. Wood, MD Surgery Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Anatole J. Besman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Adele E. Roja, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Dr. George A. Berndt, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-3475 | |
Joseph Michael Centeno, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr Ste 303, Bay Area Orthopedic Surgery And Sports Medicine, Vallejo, CA 94589 Phone: 707-645-7210 Fax: 707-645-7249 | |
Russell D. Hands, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 |