Wayman D Merrill Iii, MD | |
111 N Sepulveda Blvd Ste 210, Manhattan Beach, CA 90266-6849 | |
(310) 379-2134 | |
Not Available |
Full Name | Wayman D Merrill Iii |
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Gender | Male |
Speciality | Family Medicine |
Location | 111 N Sepulveda Blvd Ste 210, Manhattan Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225186190 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | G29834 (California) | Primary |
Entity Name | Wilmington Community Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932194586 PECOS PAC ID: 2567506504 Enrollment ID: O20100215000535 |
Mailing Address | Practice Location Address |
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Wayman D Merrill Iii, MD 4335 Marina City Dr Unit 1144, Marina Del Rey, CA 90292-5802 Ph: (310) 291-4243 | Wayman D Merrill Iii, MD 111 N Sepulveda Blvd Ste 210, Manhattan Beach, CA 90266-6849 Ph: (310) 379-2134 |
Dr. Jon Charles Malachowski, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266 Phone: 310-376-6262 Fax: 310-376-8228 | |
Dr. Vidya Kiani Ramesh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 S Sepulveda Blvd, Suite 100, Manhattan Beach, CA 90266 Phone: 800-780-1230 | |
Keyvan Hariri, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266 Phone: 310-376-6262 Fax: 310-376-8228 | |
Usha Raval, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266 Phone: 310-376-6262 Fax: 310-376-8228 | |
David L Austin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2501 N Sepulveda Blvd Ste 100, Manhattan Beach, CA 90266 Phone: 310-546-4599 Fax: 310-796-4941 | |
Maria Lui, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 Manhattan Beach Blvd, Suite 102, Manhattan Beach, CA 90266 Phone: 310-939-7858 Fax: 310-939-7842 | |
Lee Kissel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 Manhattan Beach Blvd, Suite 102, Manhattan Beach, CA 90266 Phone: 310-939-7858 Fax: 310-939-7842 |