| Daniel S Pine, MD | |
|
975 Sereno Dr, Vallejo, CA 94589-2441 | |
| (707) 651-1000 | |
| Not Available |
| Full Name | Daniel S Pine |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 35 Years |
| Location | 975 Sereno Dr, Vallejo, 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 |
|---|---|---|---|
| 1346312097 | NPI | - | NPPES |
| 00G740140 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | G74014 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eastern Plumas Hospital - Portola Campus | Portola, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eastern Plumas Health Care District | 4587576889 | 25 |
| 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 | Eastern Plumas Health Care District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245236850 PECOS PAC ID: 4587576889 Enrollment ID: O20050329001076 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel S Pine, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Daniel S Pine, MD 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-1000 |
Jason Willis-shore, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Hannah Stark St. Francis, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-5504 | |
Timothy Charles Miller, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Steven P. Whiteley, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Judith E Peck, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-3373 Fax: 707-651-2478 | |
Peter P. Chau, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Neil L. Markus, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 |