Thomas L Guerry, MD | |
99 Montecillo Rd, San Rafael, CA 94903-3308 | |
(415) 444-2000 | |
Not Available |
Full Name | Thomas L Guerry |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 99 Montecillo Rd, San Rafael, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457435430 | NPI | - | NPPES |
00G472330 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | G47233 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
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 |
---|---|
Thomas L Guerry, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262 | Thomas L Guerry, MD 99 Montecillo Rd, San Rafael, CA 94903-3308 Ph: (415) 444-2000 |
Gary S. Mizono, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
J. Brian Delfanti, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Dr. Peter Michael Vila, MD, MSPH Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 899 Northgate Dr Ste 110, San Rafael, CA 94903 Phone: 415-684-8452 | |
Jeffrey S. Chien, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 |