Jonathan W Rick, MD | |
3105 Cedar Ravine Rd Ste 201, Placerville, CA 95667-6561 | |
(530) 626-1602 | |
Not Available |
Full Name | Jonathan W Rick |
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Gender | Male |
Speciality | Dermatology |
Location | 3105 Cedar Ravine Rd Ste 201, Placerville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710440169 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | A182777 (California) | Primary |
Entity Name | Regents Of The Univ Of Ca |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892 |
Entity Name | Regents Of The University Of California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952998973 PECOS PAC ID: 8022922475 Enrollment ID: O20031118001149 |
Entity Name | Berman Skin Institute Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528175528 PECOS PAC ID: 0042407215 Enrollment ID: O20101214000672 |
Mailing Address | Practice Location Address |
---|---|
Jonathan W Rick, MD 1890 Sutter St, San Francisco, CA 94115-3259 Ph: (805) 245-2915 | Jonathan W Rick, MD 3105 Cedar Ravine Rd Ste 201, Placerville, CA 95667-6561 Ph: (530) 626-1602 |
Bruce Dean Miller, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1004 Fowler Way, Suite 6, Placerville, CA 95667 Phone: 530-626-1602 Fax: 530-626-8636 |