Juwono Sutedjo, MD | |
141 Lynch Creek Way Ste C, Petaluma, CA 94954-2390 | |
(707) 790-8000 | |
Not Available |
Full Name | Juwono Sutedjo |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 18 Years |
Location | 141 Lynch Creek Way Ste C, Petaluma, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114072980 | NPI | - | NPPES |
Facility Name | Location | Facility Type |
---|---|---|
Petaluma Valley Hospital | Petaluma, CA | Hospital |
Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Medical Foundation | 8921993205 | 1312 |
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 |
Entity Name | Providence Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Juwono Sutedjo, MD 1101 Madison St, Suite 301, Seattle, WA 98104 Ph: (206) 505-1020 | Juwono Sutedjo, MD 141 Lynch Creek Way Ste C, Petaluma, CA 94954-2390 Ph: (707) 790-8000 |
Timothy M Sowerby, MD Cardiovascular Disease Medicare: May Accept Medicare Assignments Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3900 | |
Nina Rachel Molin, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 | |
Dr. Philippe Edouard, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 Fax: 707-559-7620 | |
Dr. Gerald S. Besses, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 124 Sunny Hill Dr, Petaluma, CA 94952 Phone: 707-658-2799 | |
Dr. Jeffrey Tobias, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 10 Lavender Ter, Petaluma, CA 94952 Phone: 650-200-8944 | |
Dr. Thomas Paton Knecht, MD, PHD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 141 Lynch Creek Way, Suite A, Petaluma, CA 94954 Phone: 707-762-0001 |