Tyler Wellman, MD | |
2712 Augustine Dr Ste 120, Santa Clara, CA 95054-2941 | |
(408) 780-2542 | |
Not Available |
Full Name | Tyler Wellman |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 7 Years |
Location | 2712 Augustine Dr Ste 120, Santa Clara, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083146468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083A0300X | Preventive Medicine - Addiction Medicine | A1699735 (California) | Secondary |
207Q00000X | Family Medicine | A1699735 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dignity Health Medical Foundation | 7810800661 | 1199 |
Entity Name | Dignity Health Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
Mailing Address | Practice Location Address |
---|---|
Tyler Wellman, MD 2712 Augustine Dr Ste 120, Santa Clara, CA 95054-2941 Ph: (408) 780-2542 | Tyler Wellman, MD 2712 Augustine Dr Ste 120, Santa Clara, CA 95054-2941 Ph: (408) 780-2542 |
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