Ralph Bailey Hanahan, MD | |
3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | |
(707) 522-6875 | |
(707) 576-0445 |
Full Name | Ralph Bailey Hanahan |
---|---|
Gender | Male |
Speciality | Radiology - Therapeutic Radiology |
Location | 3555 Round Barn Cir, 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 |
---|---|---|---|
1801986641 | NPI | - | NPPES |
00C305000 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | C30500 (California) | Primary |
2085R0203X | Radiology - Therapeutic Radiology | C30500 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
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Ralph Bailey Hanahan, MD 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 Ph: (707) 522-6875 | Ralph Bailey Hanahan, MD 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 Ph: (707) 522-6875 |
Alan A. Larocque, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Dr. Alvaris W Duffis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3325 Chanate Rd, Santa Rosa, CA 95404 Phone: 707-576-4475 | |
Katherine R. Vickery, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
David Howard Schmidt, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 121 Sotoyome St, Santa Rosa, CA 95405 Phone: 707-546-4062 Fax: 707-578-6258 | |
Dr. Shawn Daly, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 121 Sotoyome St, Santa Rosa, CA 95405 Phone: 707-546-4062 Fax: 707-525-4095 | |
Clifford F Sweet, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-569-4740 | |
Gregory P Penning, R.T.(R)(CT)ARRT Radiology Medicare: Not Enrolled in Medicare Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000 |