Robert L Wirth, MD | |
180 Rowland Way, Novato, CA 94945-5009 | |
(415) 209-1500 | |
(415) 209-1501 |
Full Name | Robert L Wirth |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 40 Years |
Location | 180 Rowland Way, Novato, 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 |
---|---|---|---|
1396786547 | NPI | - | NPPES |
00G553130 | Medicaid | CA | |
300121795 | Other | CA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | G55313 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Marinhealth Medical Center | Greenbrae, CA | Hospital |
Novato Community Hospital | Novato, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
California Advanced Imaging Medical Associates Inc | 0244144228 | 73 |
Prima Medical Foundation | 6406040138 | 23 |
Entity Name | California Advanced Imaging Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881646909 PECOS PAC ID: 0244144228 Enrollment ID: O20031113000847 |
Entity Name | Sutter Bay Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
Entity Name | State Of California - Department Of Developmental Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154372498 PECOS PAC ID: 4082788732 Enrollment ID: O20081114000496 |
Entity Name | Prima Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811217946 PECOS PAC ID: 6406040138 Enrollment ID: O20101027000334 |
Mailing Address | Practice Location Address |
---|---|
Robert L Wirth, MD Po Box 6102, Novato, CA 94948-6102 Ph: (415) 884-3418 | Robert L Wirth, MD 180 Rowland Way, Novato, CA 94945-5009 Ph: (415) 209-1500 |
Jean-pierre Phancao, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 Redwood Blvd Ste 300, Novato, CA 94947 Phone: 415-464-8081 | |
Ari Kane, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 180 Rowland Way, Novato, CA 94945 Phone: 415-209-1500 Fax: 415-209-1501 | |
Crystal Chang, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 180 Rowland Way, Novato, CA 94945 Phone: 415-290-1500 Fax: 415-209-1501 | |
Ralph Maximillian Koenker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 180 Rowland Way, Novato, CA 94945 Phone: 415-290-1500 |