Mr Robert Corneles Vandergraaf, DO | |
300 Hospital Dr, Vallejo, CA 94589 | |
(707) 554-4444 | |
Not Available |
Full Name | Mr Robert Corneles Vandergraaf |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 41 Years |
Location | 300 Hospital Dr, Vallejo, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689681595 | NPI | - | NPPES |
00AX90810 | Medicaid | CA | |
020A90810 | Other | CA | BLUE SHIELD OF CALIFORNIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 20A9081 (California) | Primary |
2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | 20A9081 (California) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Solano Anesthesia Consultants Inc | 3173523149 | 7 |
Entity Name | Solano Anesthesia Consultants Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588699508 PECOS PAC ID: 3173523149 Enrollment ID: O20061226000067 |
Mailing Address | Practice Location Address |
---|---|
Mr Robert Corneles Vandergraaf, DO Po Box 7096, Stockton, CA 95267-0096 Ph: (209) 956-7725 | Mr Robert Corneles Vandergraaf, DO 300 Hospital Dr, Vallejo, CA 94589 Ph: (707) 554-4444 |
Li M. Tsang, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Amy E. Frey, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Ji Sun Baek, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-2011 | |
Bernd Claassen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Dr. Edmund Julian Marroquin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 300 Hospital Drive, Vallejo, CA 94589 Phone: 707-554-4444 | |
Michael C. Pearl, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Amy Hyung Kim, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Tpmg Anesthesiology, Vallejo, CA 94589 Phone: 707-651-3450 |