Marc Randall Shapiro, MD | |
3400 Emerson St, Suite A, Clearlake, CA 95422-9529 | |
(707) 994-7241 | |
(707) 994-0870 |
Full Name | Marc Randall Shapiro |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 48 Years |
Location | 3400 Emerson St, Clearlake, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740217348 | NPI | - | NPPES |
110222799 | Other | CA | MEDICARE RAILROAD # |
00G343590 | Medicaid | CA | |
P00730930 | Other | CA | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G343590 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventist Health Clearlake | Clearlake, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Adventist Health Clearlake Hospital Inc. | 3072421197 | 81 |
Entity Name | Adventist Health Clearlake Hospital Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124018031 PECOS PAC ID: 3072421197 Enrollment ID: O20041112000573 |
Mailing Address | Practice Location Address |
---|---|
Marc Randall Shapiro, MD 3400 Emerson St, Suite A, Clearlake, CA 95422-9529 Ph: (707) 994-7241 | Marc Randall Shapiro, MD 3400 Emerson St, Suite A, Clearlake, CA 95422-9529 Ph: (707) 994-7241 |
John Vidrih, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15630 18th Ave, Clearlake, CA 95422 Phone: 707-994-6486 | |
Dr. Ilkyoon Kim, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 15666 18th Avenue, Clearlake, CA 95422 Phone: 707-994-4210 Fax: 707-994-0839 | |
Dr. Milagros Tolentino, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 15666 18th Ave, Clearlake, CA 95422 Phone: 707-994-9469 Fax: 707-994-8758 | |
Dr. Raymond Dean Jennings, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-994-2401 | |
Thomas C Kreck, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15630 18th Ave, Clearlake, CA 95422 Phone: 707-994-6486 | |
Eric E. Kim, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 4456 Manzanita Ave, Suite# C, Clearlake, CA 95422 Phone: 707-994-9191 Fax: 707-994-9090 |