Jerome S Burke, MD | |
2450 Ashby Ave, Berkeley, CA 94705-2067 | |
(510) 204-1642 | |
Not Available |
Full Name | Jerome S Burke |
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Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 2450 Ashby Ave, Berkeley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417926072 | NPI | - | NPPES |
00A315000 | Other | CA | DHS MEDI-CAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZC0500X | Pathology - Cytopathology | A31500 (California) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | A31500 (California) | Primary |
Entity Name | Alta East Bay Pathology, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316909559 PECOS PAC ID: 8224024013 Enrollment ID: O20040426000754 |
Mailing Address | Practice Location Address |
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Jerome S Burke, MD Po Box 10076, Van Nuys, CA 91410-0076 Ph: (805) 578-8300 | Jerome S Burke, MD 2450 Ashby Ave, Berkeley, CA 94705-2067 Ph: (510) 204-1642 |
Maryna Vazmitsel, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2510 Webster St, Berkeley, CA 94705 Phone: 510-548-6555 | |
Lawrence Low, M.D., PH.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1725 Eastshore Hwy, Berkeley, CA 94710 Phone: 916-205-0580 | |
Maria-laura Mancianti, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2450 Ashby Ave, Berkeley, CA 94705 Phone: 510-204-1642 | |
Annette M Shaieb, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2450 Ashby Ave, Berkeley, CA 94705 Phone: 510-204-1642 | |
Seta Bedrosian, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2450 Ashby Ave, Berkeley, CA 94705 Phone: 510-204-1642 | |
William Salyer, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2450 Ashby Ave, Berkeley, CA 94705 Phone: 510-204-1642 |