Merry Beth Gong, MD | |
2344 6th St, Berkeley, CA 94710-2412 | |
(510) 981-3203 | |
(510) 553-2169 |
Full Name | Merry Beth Gong |
---|---|
Gender | Female |
Speciality | Hospitalist |
Location | 2344 6th St, Berkeley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265540462 | NPI | - | NPPES |
ZZZ89670Z | Other | CA | PTAN |
00G323020 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | G32302 (California) | Primary |
Entity Name | Lifelong Medical Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689670002 PECOS PAC ID: 2062304538 Enrollment ID: O20050713000704 |
Mailing Address | Practice Location Address |
---|---|
Merry Beth Gong, MD 3260 Sacramento St, Berkeley, CA 94702-2739 Ph: (510) 601-6060 | Merry Beth Gong, MD 2344 6th St, Berkeley, CA 94710-2412 Ph: (510) 981-3203 |
Julie Freedman, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 2450 Ashby Ave, Room 5505, Berkeley, CA 94705 Phone: 510-204-4444 Fax: 510-649-8287 | |
Ursula Boynton, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 2450 Ashby Ave, Room 1002, Berkeley, CA 94705 Phone: 510-204-1893 Fax: 510-649-8287 | |
Judith A Stanton, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2450 Ashby Ave Rm 5505, Berkeley, CA 94705 Phone: 510-204-4444 Fax: 510-649-8287 | |
Susan Y. Kao, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2001 Dwight Way, Berkeley, CA 94704 Phone: 510-204-6401 Fax: 510-204-6440 | |
Mac Lincoln Sterling, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2450 Ashby Ave Rm 5505, Berkeley, CA 94705 Phone: 510-204-4444 Fax: 510-649-8287 | |
Alejo Santa Cruz, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2450 Ashby Ave Rm 5505, Berkeley, CA 94705 Phone: 510-204-4444 Fax: 510-649-8287 |