| Donald Widder, | |
|
2500 Alhambra Ave, Martinez, CA 94553-3156 | |
| (925) 370-5110 | |
| (925) 370-5142 |
| Full Name | Donald Widder |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2500 Alhambra Ave, Martinez, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033287529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G55185 (California) | Primary |
| Entity Name | Modesto Radiological Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992747547 PECOS PAC ID: 2062300239 Enrollment ID: O20040513000453 |
| Mailing Address | Practice Location Address |
|---|---|
| Donald Widder, 50 Douglas Dr, Suite 391, Martinez, CA 94553-4098 Ph: (925) 957-5429 | Donald Widder, 2500 Alhambra Ave, Martinez, CA 94553-3156 Ph: (925) 370-5110 |
Charlotte Standefer, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2500 Alhambra Ave, Martinez, CA 94553 Phone: 925-370-5110 Fax: 925-370-5142 | |
Clarisse Anne R. Wong, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Muir Rd, Martinez, CA 94553 Phone: 925-372-1999 | |
Michelle Orengo-mcfarlane, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2500 Alhambra Ave, Martinez, CA 94553 Phone: 510-231-9400 Fax: 510-231-9401 | |
David E Longstroth, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2500 Alhambra Ave, Martinez, CA 94553 Phone: 925-370-5200 | |
Aaron Eliot Gach-kvenild, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2500 Alhambra Ave, Martinez, CA 94553 Phone: 925-370-5117 | |
Elise Lewis, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Alhambra Ave, Martinez, CA 94553 Phone: 925-370-5110 Fax: 925-370-5142 |