Jason Kirkman, MD | |
721 River Drive, Suite A, Fort Bragg, CA 95437 | |
(707) 961-4631 | |
(707) 964-1192 |
Full Name | Jason Kirkman |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 721 River Drive, Fort Bragg, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487665410 | NPI | - | NPPES |
00G471420 | Other | CA | MEDI-CAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G47142 (California) | Primary |
Entity Name | Adventist Health Mendocino Coast |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538113725 PECOS PAC ID: 3678990769 Enrollment ID: O20220620001667 |
Mailing Address | Practice Location Address |
---|---|
Jason Kirkman, MD 721 River Drive, Suite A, Fort Bragg, CA 95437 Ph: (707) 961-4631 | Jason Kirkman, MD 721 River Drive, Suite A, Fort Bragg, CA 95437 Ph: (707) 961-4631 |
John T Wallace Ii, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 205 South St, Fort Bragg, CA 95437 Phone: 707-964-1251 Fax: 707-961-2722 | |
Dr. James William Swallow, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 721 River Drive, Suite A, Fort Bragg, CA 95437 Phone: 707-961-4631 Fax: 707-964-1192 | |
John Arthur Rochat, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 700 River Dr, Fort Bragg, CA 95437 Phone: 707-961-4922 Fax: 707-961-4900 | |
Elizabeth Allan Khan, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 721 River Drive, Suite A, Fort Bragg, CA 95437 Phone: 707-961-4631 Fax: 707-964-1192 | |
Richard Sacks-wilner, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 721 River Drive, Suite A, Fort Bragg, CA 95437 Phone: 707-964-7241 |