Mr Dana Charles Niendorf, MD is a
Urology physician based in Petaluma, California. Mr Dana Charles Niendorf is licensed to practice in California (license number G24293) and his current practice location is 1496 Professional Dr, Ste 603, Petaluma, California. He can be reached at his office (for appointments etc.) via phone at
(707) 762-0059.
NPI number for Mr Dana Charles Niendorf is 1588674147 and his current mailing address is 1496 Professional Dr, Ste 603, Petaluma, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588674147.
Physician's Profile
| Full Name | Mr Dana Charles Niendorf |
|---|
| Gender | Male |
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| Speciality | Urology |
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| Location | 1496 Professional Dr, Petaluma, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588674147
- Provider Enumeration Date: 08/08/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Dana Charles Niendorf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588674147 | NPI | - | NPPES |
| 5233018 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | G24293 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Dana Charles Niendorf is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Dana Charles Niendorf, MD
1496 Professional Dr, Ste 603,
Petaluma, CA 94954
Ph: (707) 762-0059 | Mr Dana Charles Niendorf, MD
1496 Professional Dr, Ste 603,
Petaluma, CA 94954
Ph: (707) 762-0059 |
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