Glenn W Thiel, DO | |
1710 Prairie City Rd Ste 125, Folsom, CA 95630-4042 | |
(916) 737-5555 | |
Not Available |
Full Name | Glenn W Thiel |
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Gender | Male |
Speciality | Family Medicine |
Location | 1710 Prairie City Rd Ste 125, Folsom, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487676656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A6997 (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 |
Entity Name | Wellspace Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124112933 PECOS PAC ID: 8426157975 Enrollment ID: O20070623000117 |
Mailing Address | Practice Location Address |
---|---|
Glenn W Thiel, DO 777 12th St Ste 250, Sacramento, CA 95814-1929 Ph: (916) 550-5487 | Glenn W Thiel, DO 1710 Prairie City Rd Ste 125, Folsom, CA 95630-4042 Ph: (916) 737-5555 |
Sandra Soraya Sands-solgi, D.O., PH.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1710 Prairie City Rd Ste 125, Folsom, CA 95630 Phone: 916-737-5555 | |
Daniel A. Gonzalez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2155 Iron Point Rd, Folsom, CA 95630 Phone: 916-817-5000 | |
Dr. Roksana Ali, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Prairie City Rd, Folsom, CA 95630 Phone: 916-351-4800 Fax: 916-351-4899 | |
Joanna Hoang Nguyen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1641 Creekside Dr Ste 201, Folsom, CA 95630 Phone: 916-983-3069 Fax: 916-983-4569 | |
Dr. Henry William Sundermier, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2370 E Bidwell St, Ste 100, Folsom, CA 95630 Phone: 916-735-6070 Fax: 916-983-8591 | |
Terry E. Raposa, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 82 Clarksville Rd Ste 120, Folsom, CA 95630 Phone: 916-983-8868 | |
Lyris V. Campbell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2155 Iron Point Rd, Folsom, CA 95630 Phone: 916-817-5000 |