Thomas A Bertolli, MD | |
50 Branscomb Road, Laytonville, CA 95454 | |
(707) 984-6131 | |
(707) 984-7337 |
Full Name | Thomas A Bertolli |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 43 Years |
Location | 50 Branscomb Road, Laytonville, California |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811089717 | NPI | - | NPPES |
FHC03906F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A38824 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mendocino Coast District Hospital | Fort bragg, CA | Hospital |
Adventist Health Howard Memorial | Willits, CA | Hospital |
Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mendocino Community Health Clinic Inc | 6305755455 | 50 |
Redwood Coast Medical Services, Inc. | 6901941905 | 3 |
Entity Name | Long Valley Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366467375 PECOS PAC ID: 8628965852 Enrollment ID: O20040302001373 |
Entity Name | Mendocino Community Health Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497961106 PECOS PAC ID: 6305755455 Enrollment ID: O20040826001483 |
Entity Name | Redwood Coast Medical Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962530725 PECOS PAC ID: 6901941905 Enrollment ID: O20100302000446 |
Mailing Address | Practice Location Address |
---|---|
Thomas A Bertolli, MD Po Box 870, Laytonville, CA 95454-0870 Ph: (707) 984-6131 | Thomas A Bertolli, MD 50 Branscomb Road, Laytonville, CA 95454 Ph: (707) 984-6131 |
Sharon Paltin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Branscomb Rd, Laytonville, CA 95454 Phone: 707-984-6137 Fax: 707-984-7337 |