Michael J Novotny, MD, PHD | |
2025 Morse Ave, Sacramento, CA 95825-2115 | |
(916) 973-5000 | |
Not Available |
Full Name | Michael J Novotny |
---|---|
Gender | Male |
Speciality | Urology |
Location | 2025 Morse Ave, Sacramento, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811061419 | NPI | - | NPPES |
00A642890 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | A64289 (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 |
---|---|
Michael J Novotny, MD, PHD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262 | Michael J Novotny, MD, PHD 2025 Morse Ave, Sacramento, CA 95825-2115 Ph: (916) 973-5000 |
Dr. Megan Marie Merrill, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 6600 Bruceville Rd, Sacramento, CA 95823 Phone: 916-688-2000 Fax: 877-738-4262 | |
John M. Shrum, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 6600 Bruceville Rd, Sacramento, CA 95823 Phone: 916-688-2000 | |
Charles A. Corr, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-5000 | |
Deepak D. Chabra, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-5000 | |
Dr. Jonathan Moore, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4860 Y St Ste 3500, Sacramento, CA 95817 Phone: 916-734-4561 Fax: 916-734-8094 | |
Roger Low, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 4860 Y St, Suite 3500, Sacramento, CA 95817 Phone: 916-734-3122 Fax: 916-734-5154 | |
Tan H. Pham, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 6600 Bruceville Rd, Sacramento, CA 95823 Phone: 916-688-2000 |