Michael Louis Dworkin, MD | |
1575 Soquel Dr, Santa Cruz, CA 95065-1700 | |
(831) 462-3050 | |
Not Available |
Full Name | Michael Louis Dworkin |
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Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 1575 Soquel Dr, Santa Cruz, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922505924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | A166759 (California) | Primary |
Entity Name | Sutter Bay Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
Entity Name | Santa Cruz Radiation Oncology Medical Group Incorporated |
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Entity Type | Part B Supplier - Radiation Therapy Center |
Entity Identifiers | NPI Number: 1306988381 PECOS PAC ID: 0446358543 Enrollment ID: O20070613000815 |
Mailing Address | Practice Location Address |
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Michael Louis Dworkin, MD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: () - | Michael Louis Dworkin, MD 1575 Soquel Dr, Santa Cruz, CA 95065-1700 Ph: (831) 462-3050 |
Victor Mockus, Radiology Medicare: Not Enrolled in Medicare Practice Location: 2025 Soquel Ave, Santa Cruz, CA 95062 Phone: 831-458-5521 | |
Charlotte Y Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1575 Soquel Dr, Santa Cruz, CA 95065 Phone: 831-462-3050 | |
Nicholas Astromoff, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1661 Soquel Drive, Building G, Santa Cruz, CA 95065 Phone: 831-476-7711 Fax: 831-476-6189 | |
Ka-wah Tung, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1661 Soquel Dr, Santa Cruz, CA 95065 Phone: 718-683-0390 | |
Roy Elias Martinez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1661 Soquel Dr, Building G, Santa Cruz, CA 95065 Phone: 831-476-7711 Fax: 831-476-6189 | |
Nicholas Thomas Rudnick, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1661 Soquel Dr Ste G, Santa Cruz, CA 95065 Phone: 831-476-7711 Fax: 831-462-0581 | |
Edward Hutchinson Menges, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1661 Soquel Dr, Bldg G, Santa Cruz, CA 95065 Phone: 831-476-7711 Fax: 831-476-6189 |