Tracey L Telles, MD | |
320 Lennon Ln, Walnut Creek, CA 94598-2419 | |
(925) 906-2000 | |
Not Available |
Full Name | Tracey L Telles |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology - Reproductive Endocrinology |
Location | 320 Lennon Ln, Walnut Creek, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871671966 | NPI | - | NPPES |
00G846450 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VE0102X | Obstetrics & Gynecology - Reproductive Endocrinology | G84645 (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 |
---|---|
Tracey L Telles, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Tracey L Telles, MD 320 Lennon Ln, Walnut Creek, CA 94598-2419 Ph: (925) 906-2000 |
Dr. Johanne M Poulin, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 60 Amigo Rd, Walnut Creek, CA 94596 Phone: 781-331-1999 Fax: 781-331-1999 | |
Francis Wright, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 | |
Dr. Nadine Barbara Hanna, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 112 La Casa Via Ste 200, Walnut Creek, CA 94598 Phone: 925-933-4747 Fax: 925-933-1638 | |
Mark Allen Patterson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2657 Saklan Indian Dr Apt 2, Walnut Creek, CA 94595 Phone: 925-954-8960 | |
Dr. Madhavi Durga Vemulapalli, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 112 La Casa Via Ste 300, Walnut Creek, CA 94598 Phone: 925-239-0012 Fax: 925-239-0011 | |
Dr. Lillian Darlene Lanka, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 634 Shadowhawk Way, Walnut Creek, CA 94595 Phone: 925-287-1750 Fax: 925-287-1760 | |
Megan Jarvis Lavin, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 320 Lennon Ln, Park Shadelands, Walnut Creek, CA 94598 Phone: 925-469-2239 |