Gerry V Lazzareschi, MD | |
401 Bicentennial Way, Santa Rosa, CA 95403-2149 | |
(707) 571-4000 | |
Not Available |
Full Name | Gerry V Lazzareschi |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 401 Bicentennial Way, Santa Rosa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780768762 | NPI | - | NPPES |
00G609000 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G60900 (California) | Primary |
Entity Name | Pacific Redwood Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033103676 PECOS PAC ID: 5496652703 Enrollment ID: O20031215000997 |
Entity Name | North Sonoma County Health Care District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194824573 PECOS PAC ID: 4789594367 Enrollment ID: O20060406000251 |
Entity Name | Norcal Healthconnect Llc |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1861009672 PECOS PAC ID: 2466864038 Enrollment ID: O20201225000001 |
Entity Name | Norcal Healthconnect Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720695547 PECOS PAC ID: 2466864038 Enrollment ID: O20210308001127 |
Mailing Address | Practice Location Address |
---|---|
Gerry V Lazzareschi, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262 | Gerry V Lazzareschi, MD 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 571-4000 |
Barry Smith, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Santa Rosa Memorial Hospital, 1165 Montgomery Drive, Santa Rosa, CA 95405 Phone: 707-522-1573 | |
Dr. Ridgely Oliver Muller, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-525-5207 Fax: 626-397-5643 | |
James John Mc Keith, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1165 Montgomery Dr, Santa Rosa Memorial Hospital, Santa Rosa, CA 95405 Phone: 707-525-5207 | |
Christina Marie Goodwin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1165 Montgomery Dr, M/s 1w04, Santa Rosa, CA 95405 Phone: 707-547-5471 Fax: 707-525-5280 | |
Daniel T Matulich, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1165 Montgomery Dr, Santa Rosa Memorial Hospital, Santa Rosa, CA 95405 Phone: 707-552-1573 | |
Yizza Narvaez, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-684-1538 | |
S. Mitchell Savitsky, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 |