| Dr Benjamin C Dudley, MD | |
|
770 Mason St, Vacaville, CA 95688-4646 | |
| (707) 454-5800 | |
| (707) 454-5809 |
| Full Name | Dr Benjamin C Dudley |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 19 Years |
| Location | 770 Mason St, Vacaville, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669682811 | NPI | - | NPPES |
| 07938 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 13996 (Nevada) | Secondary |
| 208800000X | Urology | A136154 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marinhealth Medical Center | Greenbrae, CA | Hospital |
| Sonoma Valley Hospital | Sonoma, CA | Hospital |
| Petaluma Valley Hospital | Petaluma, CA | Hospital |
| Novato Community Hospital | Novato, CA | Hospital |
| Northbay Medical Center | Fairfield, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northbay Healthcare Group | 0042122244 | 293 |
| Regents Univ Of California Ucsf | 6305160300 | 249 |
| 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 | Northbay Healthcare Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821147786 PECOS PAC ID: 0042122244 Enrollment ID: O20031105000409 |
| Entity Name | Regents Univ Of California Ucsf |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124439807 PECOS PAC ID: 6305160300 Enrollment ID: O20150122001375 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin C Dudley, MD 10470 Old Placerville Rd, Suite 100, Sacramento, CA 95827-2539 Ph: (800) 470-0071 | Dr Benjamin C Dudley, MD 770 Mason St, Vacaville, CA 95688-4646 Ph: (707) 454-5800 |
Dr. Kadee E Thompson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 770 Mason Street, Vacaville, CA 95688 Phone: 707-427-4900 Fax: 707-454-5809 | |
Rose Kristine Leu, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 200 Bella Vista Rd, Vacaville, CA 95687 Phone: 707-427-4900 Fax: 707-454-5809 | |
Dr. Gricelda Gomez, MD, MPH Urology Medicare: Accepting Medicare Assignments Practice Location: 1 Quality Dr, Vacaville, CA 95688 Phone: 707-624-4000 | |
Dr. Aeen Mostafa Asghar, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1 Quality Dr, Vacaville, CA 95688 Phone: 707-624-4000 | |
Edward I Levin, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 770 Mason St, Vacaville, CA 95688 Phone: 707-427-4900 Fax: 707-454-5809 |