Mr Michael E Martin, MD | |
2461 Summerfield Rd, Santa Rosa, CA 95405-7815 | |
(707) 525-0211 | |
(707) 525-0491 |
Full Name | Mr Michael E Martin |
---|---|
Gender | Male |
Speciality | Allergy & Immunology |
Location | 2461 Summerfield 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 |
---|---|---|---|
1245213776 | NPI | - | NPPES |
G29076 | Other | CA | LICENSE |
GR0061440 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | G29076 (California) | Primary |
Entity Name | Allergy & Asthma Adult & Pediatric Medical Group Of The Redwoods Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730257932 PECOS PAC ID: 8921084773 Enrollment ID: O20110209000107 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael E Martin, MD 2461 Summerfield Rd, Santa Rosa, CA 95405-7815 Ph: (707) 525-0211 | Mr Michael E Martin, MD 2461 Summerfield Rd, Santa Rosa, CA 95405-7815 Ph: (707) 525-0211 |
Dr. Maria M. Petrick, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 130 Stony Point Rd, Suite E, Santa Rosa, CA 95401 Phone: 707-525-0211 Fax: 707-525-0491 | |
Dr. Kenneth M. Kurtz, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Albert Haas Iii, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Christine Anne Royer, M.D. Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 130 Stony Point Rd Ste E, Santa Rosa, CA 95401 Phone: 707-525-0211 | |
Juline Natalia Caraballo Fonseca, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 130 Stony Point Rd Ste E, Santa Rosa, CA 95401 Phone: 707-525-0211 Fax: 707-525-0491 |