| Alex V Prescott, MD | |
|
18 Bon Air Rd, Larkspur, CA 94939-1123 | |
| (415) 927-5300 | |
| (415) 927-6860 |
| Full Name | Alex V Prescott |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 18 Bon Air Rd, Larkspur, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427132596 | NPI | - | NPPES |
| 00G785580 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | G78558 (California) | Secondary |
| 207X00000X | Orthopaedic Surgery | G78558 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Alex V Prescott, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Alex V Prescott, MD 18 Bon Air Rd, Larkspur, CA 94939-1123 Ph: (415) 927-5300 |
Dr. Daniel Jordan Solomon, M.D. Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 18 Bon Air Rd, Larkspur, CA 94939 Phone: 415-927-5300 | |
Dr. Brian Su, MD Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 2 Bon Air Rd, Suite 120, Larkspur, CA 94939 Phone: 415-925-8200 Fax: 415-464-5480 | |
Jamal Shillingford, Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 2 Bon Air Rd Ste 120, Larkspur, CA 94939 Phone: 415-927-5300 | |
Dr. David H. Goltz, M.D. Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 18 Bon Air Rd, Larkspur, CA 94939 Phone: 415-927-5300 Fax: 415-927-6860 | |
Dr. John C. Keohane, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 18 Bon Air Rd, Larkspur, CA 94939 Phone: 415-927-5300 Fax: 415-927-6860 | |
Dr. Michael S. Stock, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 18 Bon Air Rd, Larkspur, CA 94939 Phone: 415-927-5300 Fax: 415-927-6860 | |
Dr. Michael J. Oechsel, M.D. Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 18 Bon Air Rd, Larkspur, CA 94939 Phone: 415-927-5300 Fax: 415-927-6860 |