Michael L Medvin, MD | |
1287 Fulton Rd, Santa Rosa, CA 95401-4923 | |
(707) 888-5808 | |
(707) 577-8315 |
Full Name | Michael L Medvin |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1287 Fulton Rd, Santa Rosa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174572952 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207P00000X | Emergency Medicine | G67405 (California) | Primary |
Entity Name | Pacific Redwood Medical Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295924470 PECOS PAC ID: 6204913767 Enrollment ID: O20080408000421 |
Mailing Address | Practice Location Address |
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Michael L Medvin, MD 122 Calistoga Rd. #343, Santa Rosa, CA 95409 Ph: (707) 888-5808 | Michael L Medvin, MD 1287 Fulton Rd, Santa Rosa, CA 95401-4923 Ph: (707) 888-5808 |
Barry Smith, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Santa Rosa Memorial Hospital, 1165 Montgomery Drive, Santa Rosa, CA 95405 Phone: 707-522-1573 | |
Dr. Ridgely Oliver Muller, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-525-5207 Fax: 626-397-5643 | |
John Tate Higgins, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-393-4044 | |
James John Mc Keith, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1165 Montgomery Dr, Santa Rosa Memorial Hospital, Santa Rosa, CA 95405 Phone: 707-525-5207 | |
Christina Marie Goodwin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1165 Montgomery Dr, M/s 1w04, Santa Rosa, CA 95405 Phone: 707-547-5471 Fax: 707-525-5280 | |
Daniel T Matulich, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1165 Montgomery Dr, Santa Rosa Memorial Hospital, Santa Rosa, CA 95405 Phone: 707-552-1573 | |
Yizza Narvaez, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-684-1538 |