| Dr Andrew Whalen X, PT | |
|
99 Montecillo Rd, San Rafael, CA 94903-3308 | |
| (415) 444-2000 | |
| Not Available |
| Full Name | Dr Andrew Whalen X |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 16 Years |
| Location | 99 Montecillo Rd, San Rafael, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316209968 | NPI | - | NPPES |
| PT36024 | Other | CA | PT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 36034 (California) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 36024 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| 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 |
|---|---|
| Dr Andrew Whalen X, PT 99 Montecillo Rd, San Rafael, CA 94903-3308 Ph: (415) 444-2000 | Dr Andrew Whalen X, PT 99 Montecillo Rd, San Rafael, CA 94903-3308 Ph: (415) 444-2000 |
Ronald F. Gaines, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Dr. Scott E Pinner, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-4977 | |
Dr. Mary Elizabeth Air, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2988 | |
Rebecca Jean Anderson, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 81 Professional Pkwy, San Rafael, CA 94903 Phone: 415-479-5161 | |
Dr. Shaima Khandaker, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Dr. Carol Ann Banquer, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 237 Santa Margarita Dr, San Rafael, CA 94901 Phone: 415-847-5353 |