Dr Brent Douglas Wright, MD | |
205 South St, Fort Bragg, CA 95437-5540 | |
(707) 964-1251 | |
(707) 961-2722 |
Full Name | Dr Brent Douglas Wright |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology - Gynecology |
Location | 205 South St, Fort Bragg, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275657231 | NPI | - | NPPES |
FHC03967F | Medicaid | CA | |
EH816A | Other | CA | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VG0400X | Obstetrics & Gynecology - Gynecology | A67482 (California) | Primary |
Entity Name | Mendocino Coast Clinics, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609595404 PECOS PAC ID: 5991619157 Enrollment ID: O20050512001033 |
Entity Name | Adventist Health Mendocino Coast |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538113725 PECOS PAC ID: 3678990769 Enrollment ID: O20220620001667 |
Mailing Address | Practice Location Address |
---|---|
Dr Brent Douglas Wright, MD 205 South St, Fort Bragg, CA 95437-5540 Ph: (707) 964-1251 | Dr Brent Douglas Wright, MD 205 South St, Fort Bragg, CA 95437-5540 Ph: (707) 964-1251 |
Dr. Eric I Gutnick, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 850 Sequoia Circle, Fort Bragg, CA 95437 Phone: 707-964-0259 Fax: 707-964-0765 | |
Dr. Keevan Abramson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 850 Sequoia Circle, Fort Bragg, CA 95437 Phone: 707-964-0259 Fax: 707-964-0765 |