Merrill A Chandler, MD | |
20103 Lake Chabot Rd, Castro Valley, CA 94546-5341 | |
(209) 342-2300 | |
(209) 524-4240 |
Full Name | Merrill A Chandler |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 20103 Lake Chabot Rd, Castro Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508847237 | NPI | - | NPPES |
00G501340 | Medicaid | CA | |
00G501340 | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G50134 (California) | Primary |
Entity Name | Eden Emergency Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891786240 PECOS PAC ID: 7012802333 Enrollment ID: O20040217000163 |
Mailing Address | Practice Location Address |
---|---|
Merrill A Chandler, MD 4301 Northstar Way, Modesto, CA 95356-9262 Ph: (209) 342-2300 | Merrill A Chandler, MD 20103 Lake Chabot Rd, Castro Valley, CA 94546-5341 Ph: (209) 342-2300 |
Evan Taylor Wythe, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 209-342-2300 Fax: 209-524-4240 | |
Thomas Eales, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 510-727-3320 Fax: 317-963-5394 | |
Dr. Emily Rose Nelson, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 651-249-4082 | |
Adria Simon, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 510-727-3015 Fax: 626-623-1227 | |
Dr. Rahim James Sharifi, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20101 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 510-247-6300 | |
Ralph James Damato, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 209-342-2300 Fax: 209-524-4240 | |
Rochelle Ana Eggleston Philapil, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 209-342-2300 Fax: 209-524-4240 |