Reynold C Wong, MD | |
1600 Eureka Rd, Roseville, CA 95661-3027 | |
(916) 784-4000 | |
Not Available |
Full Name | Reynold C Wong |
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Gender | Male |
Speciality | Dermatology |
Location | 1600 Eureka Rd, Roseville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962581694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | G51891 (California) | Primary |
Entity Name | Direct Dermatology Professionals Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417263922 PECOS PAC ID: 1153585948 Enrollment ID: O20120606000682 |
Mailing Address | Practice Location Address |
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Reynold C Wong, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262 | Reynold C Wong, MD 1600 Eureka Rd, Roseville, CA 95661-3027 Ph: (916) 784-4000 |
Dr. Christine Badgwell Doherty, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2120 Professional Dr, Roseville, CA 95661 Phone: 916-631-3010 | |
Dr. Linda J Sheu, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Dr, Suite 230, Roseville, CA 95661 Phone: 916-797-4766 Fax: 916-797-4767 | |
Robert Hadley Hargrove, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 10 Sierra Gate Plz Ste 120, Roseville, CA 95678 Phone: 916-784-1155 Fax: 916-773-0995 | |
Dr. Gregory Michael Bricca, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 9269 Sierra College Blvd, Roseville, CA 95661 Phone: 916-772-1585 Fax: 916-772-5685 | |
Christopher H Ha, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1412 Blue Oaks Blvd, Roseville, CA 95747 Phone: 916-784-7546 Fax: 916-784-7548 | |
Sylvia Jaramillo Ortega, P.A. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8735 Sierra College Blvd, Suite 200, Roseville, CA 95661 Phone: 916-773-3376 Fax: 916-773-3353 | |
Patricia A. Satterfield, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 |