Michael John Phelan, MD | |
27303 Sleepy Hollow Avenue, Hayward, CA 94545-4203 | |
(510) 454-1000 | |
Not Available |
Full Name | Michael John Phelan |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 27303 Sleepy Hollow Avenue, Hayward, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376621136 | NPI | - | NPPES |
00G737550 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | G73755 (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 John Phelan, MD 27303 Sleepy Hollow Avenue, Hayward, CA 94545-4203 Ph: (510) 454-1000 | Michael John Phelan, MD 27303 Sleepy Hollow Avenue, Hayward, CA 94545-4203 Ph: (510) 454-1000 |
Elaine K Ong, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 27303 Sleepy Hollow Ave S, Hayward, CA 94545 Phone: 510-454-1000 | |
Dr. Roxana Elena Stancescu-popescu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 22331 Mission Blvd, Hayward, CA 94541 Phone: 510-471-5880 | |
Yasmin Hyder Carim, M.D, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 22290 Foothill Blvd, Suite 1, Hayward, CA 94541 Phone: 510-581-1446 Fax: 510-581-1805 | |
Donna Hong, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 27400 Hesperian Blvd, Hayward, CA 94545 Phone: 510-784-4000 | |
Wendy V Wheaton, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 27303 Sleepy Hollow Avenue, Hayward, CA 94545 Phone: 510-454-1000 | |
Carolyn E. Hudson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 27212 Calaroga Ave, Hayward, CA 94545 Phone: 510-785-5000 Fax: 510-784-2502 | |
Peter Kim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 27400 Hesperian Blvd, Hayward, CA 94545 Phone: 510-784-4000 |