Robert Logan Faust, MD | |
1210 Sonoma Ave, Suite B, Santa Rosa, CA 95405 | |
(707) 544-5093 | |
(707) 528-8444 |
Full Name | Robert Logan Faust |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 36 Years |
Location | 1210 Sonoma Ave, Santa Rosa, 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 |
---|---|---|---|
1891766861 | NPI | - | NPPES |
00A464840 | Medicaid | CA | |
A46484 | Other | CA | CALIFORNIA MEDICAL LIC # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | A46484 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
California Pacific Medical Ctr-davies Campus Hosp | San francisco, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Medical Foundation | 8921993205 | 1312 |
Entity Name | Providence Medical Foundation |
---|---|
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 |
---|---|
Robert Logan Faust, MD 1210 Sonoma Ave, Suite B, Santa Rosa, CA 95405 Ph: (707) 544-5093 | Robert Logan Faust, MD 1210 Sonoma Ave, Suite B, Santa Rosa, CA 95405 Ph: (707) 544-5093 |
Rajveer Sangera, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 500 Doyle Park Dr Ste G04, Santa Rosa, CA 95405 Phone: 707-576-7100 | |
Dr. Yulia Rivelis, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3883 Airway Dr, Santa Rosa, CA 95403 Phone: 707-573-5458 Fax: 707-573-5458 | |
Soheila Benrazavi, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 4730 Hoen Ave, Santa Rosa, CA 95405 Phone: 707-528-1616 | |
Suhana Elamsenthil, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000 | |
Jarrod Paul Holmes, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3555 Round Barn Cir, Santa Rosa, CA 95403 Phone: 707-528-1050 Fax: 707-525-3874 | |
Dr. James Andrew Driscoll, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 4001 Split Rail Ct, Santa Rosa, CA 95403 Phone: 512-459-6599 | |
Dominic Joseph Picetti, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000 |