| Brian D Hertz, MD | |
|
99 Montecillo Rd, San Rafael, CA 94903-3308 | |
| (415) 444-2000 | |
| Not Available |
| Full Name | Brian D Hertz |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 42 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 |
|---|---|---|---|
| 1831273812 | NPI | - | NPPES |
| 00G865650 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 042-0015837 (Vermont) | Secondary |
| 207Q00000X | Family Medicine | G86565 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Vermont Medical Center | Barre, VT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Santa Rosa Community Health Centers | 0345130423 | 66 |
| Petaluma Health Center Inc | 9133180375 | 62 |
| Central Vermont Medical Center Inc | 9335138817 | 204 |
| 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 |
| Entity Name | Santa Rosa Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578631172 PECOS PAC ID: 0345130423 Enrollment ID: O20040319001444 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian D Hertz, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262 | Brian D Hertz, MD 99 Montecillo Rd, San Rafael, CA 94903-3308 Ph: (415) 444-2000 |
Dr. Ann Hathaway, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 25 Mitchell Blvd, #3, San Rafael, CA 94903 Phone: 415-499-0966 Fax: 415-446-0118 | |
Daniel Aaron Smith, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-4873 | |
Michael A Frumkin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 30 Newport Way, San Rafael, CA 94901 Phone: 315-415-6865 | |
Mrs. Meenal Sunit Lohtia, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 4000 Civic Center Drive, Suite 200, San Rafael, CA 94903 Phone: 415-492-3333 Fax: 415-492-3425 | |
Dr. Charles C. Palmigiano, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 920 Northgate Dr, Suite 6, San Rafael, CA 94903 Phone: 415-479-1022 Fax: 415-479-5305 | |
Jay F. Fairborn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Darell Hawley, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3260 Kerner Blvd, San Rafael, CA 94901 Phone: 973-971-5000 |