Jerome B Deck Jr, MD | |
7601 Stoneridge Dr, Pleasanton, CA 94588-4501 | |
(925) 847-5000 | |
Not Available |
Full Name | Jerome B Deck Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 7601 Stoneridge Dr, Pleasanton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073691168 | NPI | - | NPPES |
00G728610 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G72861 (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 |
---|---|
Jerome B Deck Jr, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Jerome B Deck Jr, MD 7601 Stoneridge Dr, Pleasanton, CA 94588-4501 Ph: (925) 847-5000 |
Kavitha Pandy Raj, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5725 W Las Positas Blvd Ste 100a, Pleasanton, CA 94588 Phone: 925-734-8130 | |
Mr. Robert Mccabe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1447 Cedarwood Ln, Pleasanton, CA 94566 Phone: 925-463-1318 Fax: 925-460-9002 | |
Dr. Soo Shin Rhee, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5820 Stoneridge Mall Rd, Suite 101, Pleasanton, CA 94588 Phone: 925-224-0720 Fax: 925-224-0722 | |
Ana Leonor A. Amog, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7601 Stoneridge Dr, Pleasanton, CA 94588 Phone: 925-847-5000 | |
Dr. Donald Rice, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1491 Cedarwood Ln, A, Pleasanton, CA 94566 Phone: 925-846-7789 Fax: 925-846-7502 | |
Donald Mang-sum Lai, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5565 W Las Positas Blvd Ste 150, Pleasanton, CA 94588 Phone: 925-534-6880 |