Kerry L Blacker, MD | |
2200 Ofarrell St, San Francisco, CA 94115-3357 | |
(415) 833-2000 | |
Not Available |
Full Name | Kerry L Blacker |
---|---|
Gender | Female |
Speciality | Dermatology |
Location | 2200 Ofarrell St, San Francisco, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841378452 | NPI | - | NPPES |
00G603350 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | G60335 (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 |
---|---|
Kerry L Blacker, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262 | Kerry L Blacker, MD 2200 Ofarrell St, San Francisco, CA 94115-3357 Ph: (415) 833-2000 |
Sinae Angela Kane, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 350 Parnassus Ave Ste 400, San Francisco, CA 94117 Phone: 415-564-1261 | |
Edwin Yuen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 199 Ocean Ave, San Francisco, CA 94112 Phone: 415-585-7771 Fax: 415-585-1117 | |
Joel Alan Teisch, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1001 Potrero Ave, Bldg 90 Ward 92 Rm 224, San Francisco, CA 94110 Phone: 415-206-8680 Fax: 415-206-4317 | |
Malcolm Nehemiah Pyles, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1 Daniel Burnham Ct Ste 350c, San Francisco, CA 94109 Phone: 415-771-6300 | |
Deirdre Alexander, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3905 Sacramento St, 201, San Francisco, CA 94118 Phone: 415-387-8007 | |
Dr. Cynthia Lea Chen, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1701 Divisadero St, Third Floor, San Francisco, CA 94115 Phone: 415-353-7800 Fax: 415-353-7870 | |
Michael K Burns, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 450 Sutter St, #932, San Francisco, CA 94108 Phone: 415-362-4565 Fax: 415-362-4562 |