Song Chi Lu, MD | |
1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | |
(707) 546-3210 | |
Not Available |
Full Name | Song Chi Lu |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 1165 Montgomery Dr, 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 |
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1346864709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | A185942 (California) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | PG199024 (Oregon) | Secondary |
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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Song Chi Lu, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Song Chi Lu, MD 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 Ph: (707) 546-3210 |
Dr. James Nicholas Worledge, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3554 Round Barn Blvd, Santa Rosa, CA 95403 Phone: 707-653-3639 | |
Dr. Pankaj Arora, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Kaiser Permanente Hospital, Santa Rosa, CA 95403 Phone: 707-393-4000 Fax: 707-393-2163 | |
Frederick J. Challoner, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Dr. Ann Katz Press, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 30 Mark West Springs Rd Ofc, Santa Rosa, CA 95403 Phone: 707-576-4000 | |
Navpreet Sidhu, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3569 Round Barn Cir Ste 200, Santa Rosa, CA 95403 Phone: 707-583-8800 | |
Felicity A. Mcnichol, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Dr. Hachem Nasri, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-547-5437 |