| Compassionate Concierge Care | |
|
555 Petaluma Ave Ste B1 Sebastopol CA 95472-4224 | |
| (707) 694-2390 | |
| Not Available |
| Full Name | Compassionate Concierge Care |
|---|---|
| Speciality | Family Medicine |
| Location | 555 Petaluma Ave Ste B1, Sebastopol, California |
| Authorized Official Name and Position | Kathleen E Whisman (PHYSICIAN / OWNER) |
| Authorized Official Contact | 7076942390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Concierge Care 555 Petaluma Ave Ste B1 Sebastopol CA 95472-4224 Ph: (707) 694-2390 | Compassionate Concierge Care 555 Petaluma Ave Ste B1 Sebastopol CA 95472-4224 Ph: (707) 694-2390 |
| NPI Number | 1255905873 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 07/21/2021 |
| Medicare PECOS PAC ID | 7315349495 |
|---|---|
| Medicare Enrollment ID | O20210712003887 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255905873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kathleen Whisman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124179353 PECOS PAC ID: 5092868240 Enrollment ID: I20090805000362 |
Peter V. Madill, M.d. A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1020 Gravenstein Hwy. So., Suite 120, Sebastopol, CA 95472 Phone: 707-823-3312 Fax: 707-823-4901 | |
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