| Aleda A Longwell, MD | |
| 1320 El Capitan Dr, Danville, CA 94526-6258 | |
| (925) 838-4363 | |
| (925) 838-4545 | 
| Full Name | Aleda A Longwell | 
|---|---|
| Gender | Female | 
| Speciality | Dermatology | 
| Location | 1320 El Capitan Dr, Danville, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093960643 | NPI | - | NPPES | 
| BJ276Z | Other | CA | MEDICARE PTAN | 
| CB368 | Other | CA | MEDICARE PTAN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | A86547 (California) | Secondary | 
| 207N00000X | Dermatology | A86547 (California) | Primary | 
| Entity Name | Berman Skin Institute Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1528175528 PECOS PAC ID: 0042407215 Enrollment ID: O20101214000672 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Aleda A Longwell, MD 360 Rose Ave, Danville, CA 94526-3320 Ph: (925) 838-4363 | Aleda A Longwell, MD 1320 El Capitan Dr, Danville, CA 94526-6258 Ph: (925) 838-4363 | 
| Jerome Potozkin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 600 San Ramon Valley Blvd, Suite 102, Danville, CA 94526 Phone: 925-838-4900 Fax: 925-838-4920 | |
| Sonia Badreshia, MD Dermatology Medicare: Medicare Enrolled Practice Location: 360 Rose Ave, Danville, CA 94526 Phone: 925-389-7196 | |
| Gergana Gallacher, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 770 San Ramon Blvd, Danville, CA 94526 Phone: 925-820-3376 Fax: 925-820-3307 | |
| Daniel J Wall, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3860 Blackhawk Rd Ste 140, Danville, CA 94506 Phone: 925-837-6000 | |
| Hayes Bordman Gladstone, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3860 Blackhawk Rd Ste 140, Danville, CA 94506 Phone: 925-837-6000 | |
| Dr. Adam Gregory Wallach, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 400 El Cerro Blvd, Suite 204, Danville, CA 94526 Phone: 925-837-8848 Fax: 925-837-4808 |