Mary B Mockus, MD | |
99 Montecillo Rd, San Rafael, CA 94903-3308 | |
(415) 444-2000 | |
Not Available |
Full Name | Mary B Mockus |
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Gender | Female |
Speciality | Surgery |
Location | 99 Montecillo Rd, San Rafael, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134203128 | NPI | - | NPPES |
00G742920 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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208600000X | Surgery | G74292 (California) | Primary |
Entity Name | Acute Care Surgery Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700069549 PECOS PAC ID: 7214006816 Enrollment ID: O20080522000355 |
Entity Name | Surgical Affiliates Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932440781 PECOS PAC ID: 3375782667 Enrollment ID: O20130618000127 |
Mailing Address | Practice Location Address |
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Mary B Mockus, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262 | Mary B Mockus, MD 99 Montecillo Rd, San Rafael, CA 94903-3308 Ph: (415) 444-2000 |
Dr. Jeffry D Cardneau, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, Mob 1, 2nd Floor, Department Of Surgery, San Rafael, CA 94903 Phone: 415-444-3131 | |
Richard Elmer Geist, Surgery Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Joe M. Zimmerman, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Michael Parnes, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Frederick William Penczak, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 78 Creekside Dr, San Rafael, CA 94903 Phone: 707-939-7411 Fax: 707-939-1617 | |
Kenneth E. Novich, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 |