Suegee Tamar-mattis, DO | |
1020 Gravenstein Hwy S Ste 120, Sebastopol, CA 95472-4863 | |
(707) 861-0807 | |
Not Available |
Full Name | Suegee Tamar-mattis |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1020 Gravenstein Hwy S Ste 120, Sebastopol, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831398346 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A10413 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Suegee Tamar-mattis, DO 1020 Gravenstein Hwy S Ste 120, Sebastopol, CA 95472-4863 Ph: (707) 861-0807 | Suegee Tamar-mattis, DO 1020 Gravenstein Hwy S Ste 120, Sebastopol, CA 95472-4863 Ph: (707) 861-0807 |
Dr. James Arthur Lowy, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 652 Petaluma Ave, Suite F, Sebastopol, CA 95472 Phone: 707-823-2334 Fax: 707-823-3007 | |
Ralph Llewellyn Pendleton, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10509 Mill Station Rd, Sebastopol, CA 95472 Phone: 707-823-9065 Fax: 707-829-6932 | |
Mrs. Kathleen Ellen Whisman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 678 Petaluma Ave, Sebastopol, CA 95472 Phone: 707-823-6997 Fax: 707-829-3709 | |
James F. Yusuf Q. Erskine, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1346 High School Rd, Sebastopol, CA 95472 Phone: 707-824-8683 Fax: 707-824-9235 | |
Richard E Powers, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6800 Palm Ave, Ste A, Sebastopol, CA 95472 Phone: 707-823-5341 Fax: 707-823-8638 | |
Dr. Rhonda Berney, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 6800 Palm Ave, Suite C, Sebastopol, CA 95472 Phone: 707-824-9000 Fax: 707-824-9329 | |
John Peter Canova, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 678 Petaluma Ave, Sebastopol, CA 95472 Phone: 707-829-2232 Fax: 707-829-3709 |