| Bruce David Deas, MD | |
| 
					5176 Hill Road E., Lakeport, CA 95453-6300  | |
| (707) 262-5000 | |
| Not Available | 
| Full Name | Bruce David Deas | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 5176 Hill Road E., Lakeport, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1639189715 | NPI | - | NPPES | 
| 00G679340 | Medicaid | CA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | G67934 (California) | Primary | 
| 207P00000X | Emergency Medicine | G67934 (California) | Secondary | 
| Entity Name | San Francisco Emergency Medical Associates | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1134110661 PECOS PAC ID: 5698662518 Enrollment ID: O20040303001130  | 
| Entity Name | North Sonoma County Health Care District | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1194824573 PECOS PAC ID: 4789594367 Enrollment ID: O20060406000251  | 
| Entity Name | Sonoma Valley Emergency Physicians Medical Group, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1710164629 PECOS PAC ID: 1355420191 Enrollment ID: O20080506000390  | 
| Entity Name | Norcal Healthconnect Llc | 
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital | 
| Entity Identifiers | NPI Number: 1861009672 PECOS PAC ID: 2466864038 Enrollment ID: O20201225000001  | 
| Entity Name | Norcal Healthconnect Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1720695547 PECOS PAC ID: 2466864038 Enrollment ID: O20210308001127  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Bruce David Deas, MD Po Box 12289, Westminster, CA 92685-2289 Ph: (877) 818-6101  | Bruce David Deas, MD 5176 Hill Road E., Lakeport, CA 95453-6300 Ph: (707) 262-5000  | 
Bradley Trent Clair, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5196 Hill Rd E, Ste 202, Lakeport, CA 95453 Phone: 707-263-1777 Fax: 707-263-8137  | |
Dr. Charles Joseph Seage, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5335 Lakeshore Blvd, Lakeport, CA 95453 Phone: 707-472-4596 Fax: 707-462-7078  | |
Dr. Diane Joan Pege, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5176 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-5117 Fax: 707-262-5094  | |
Anne E Tait, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 5150 Hill Rd E Ste C, Lakeport, CA 95453 Phone: 707-263-3520 Fax: 707-263-3570  | |
Dr. John Mathew Schweifler, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5150 Hill Rd E Ste B, Lakeport, CA 95453 Phone: 707-263-7082  | |
Dr. Fareed Ramzi Asfour, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5176 Hill Rd E, Lakeport, CA 95453 Phone: 628-600-3589  | |
Dr. Elyse Midori Donald, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5150 Hill Rd E Ste B, Lakeport, CA 95453 Phone: 707-263-7082  |