| Dmitry Khvatsky, MD | |
|
2450 Ashby Ave, Berkeley, CA 94705-2067 | |
| (510) 204-4444 | |
| (510) 649-8287 |
| Full Name | Dmitry Khvatsky |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 21 Years |
| Location | 2450 Ashby Ave, Berkeley, 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 |
|---|---|---|---|
| 1457536427 | NPI | - | NPPES |
| A97563 | Other | CA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A97563 (California) | Secondary |
| 208000000X | Pediatrics | A97563 (California) | Secondary |
| 208M00000X | Hospitalist | A97563 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alta Bates Summit Medical Center - Alta Bates Camp | Berkeley, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Bay Medical Foundation | 4284538778 | 3318 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Dmitry Khvatsky, MD 3687 Mt Diablo Blvd Ste 200, Lafayette, CA 94549-3746 Ph: (916) 854-6975 | Dmitry Khvatsky, MD 2450 Ashby Ave, Berkeley, CA 94705-2067 Ph: (510) 204-4444 |
Julie Freedman, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 2450 Ashby Ave, Room 5505, Berkeley, CA 94705 Phone: 510-204-4444 Fax: 510-649-8287 | |
Ursula Boynton, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2450 Ashby Ave, Room 1002, Berkeley, CA 94705 Phone: 510-204-1893 Fax: 510-649-8287 | |
Judith A Stanton, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2450 Ashby Ave Rm 5505, Berkeley, CA 94705 Phone: 510-204-4444 Fax: 510-649-8287 | |
Merry Beth Gong, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2344 6th St, Berkeley, CA 94710 Phone: 510-981-3203 Fax: 510-553-2169 | |
Vikram Sharma, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2450 Ashby Ave, Berkeley, CA 94705 Phone: 510-204-4444 Fax: 510-649-8287 | |
Susan Y. Kao, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2001 Dwight Way, Berkeley, CA 94704 Phone: 510-204-6401 Fax: 510-204-6440 | |
Dr. Lisa Jane Chandler, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2450 Ashby Ave Rm 5505, Berkeley, CA 94705 Phone: 510-204-1893 |