| Bryan L Gammon, MD | |
|
2420 Samaritan Dr, San Jose, CA 95124-3907 | |
| (408) 369-5600 | |
| (408) 369-5625 |
| Full Name | Bryan L Gammon |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 18 Years |
| Location | 2420 Samaritan Dr, San Jose, 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 |
|---|---|---|---|
| 1518134154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0900X | Dermatology - Dermatopathology | A118101 (California) | Primary |
| 207N00000X | Dermatology | R0862 (Texas) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hal M Weitzbuch Md Medical Corporation | 3375795123 | 4 |
| Sagis Pllc | 3274797212 | 27 |
| Sagis Pllc | 3274797212 | 27 |
| Entity Name | J Robert West Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932154788 PECOS PAC ID: 8729990973 Enrollment ID: O20031105000239 |
| Entity Name | Hal M Weitzbuch Md Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639420177 PECOS PAC ID: 3375795123 Enrollment ID: O20121130000565 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan L Gammon, MD 4131 Directors Row, Houston, TX 77092-8703 Ph: (877) 697-2447 | Bryan L Gammon, MD 2420 Samaritan Dr, San Jose, CA 95124-3907 Ph: (408) 369-5600 |
Dr. Livia Van, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 276 International Cir Fl 3, San Jose, CA 95119 Phone: 408-972-3590 | |
Dr. Kathryn Joyce Martires, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1071 Blossom Hill Rd, San Jose, CA 95123 Phone: 650-934-7676 | |
Dr. Mychael Luu, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2050 Clarmar Way, San Jose, CA 95128 Phone: 408-294-7551 Fax: 408-294-7201 | |
Eric D. Starr, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000 | |
Michele Wing-sze Mak-fung, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2577 Samaritan Dr Ste 705, San Jose, CA 95124 Phone: 650-934-7676 | |
Oloruntoyin Omoyeni Falola, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, San Jose, CA 95128 Phone: 408-885-5000 | |
Kathryne Mooney, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000 |