| Dr Brad A Wolfson, MD | |
|
555 E Tachevah Dr, Ste 2w-101, Palm Springs, CA 92262-5750 | |
| (760) 320-6005 | |
| (760) 323-5786 |
| Full Name | Dr Brad A Wolfson |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 555 E Tachevah Dr, Palm Springs, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700843174 | NPI | - | NPPES |
| 00G610801 | Medicaid | CA | |
| G61080 | Other | CA | CA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | G61080 (California) | Primary |
| Entity Name | Emergency Associates Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003866120 PECOS PAC ID: 8022196518 Enrollment ID: O20080424000144 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brad A Wolfson, MD 555 E Tachevah Dr, Ste 2w-101, Palm Springs, CA 92262-5748 Ph: (760) 320-6005 | Dr Brad A Wolfson, MD 555 E Tachevah Dr, Ste 2w-101, Palm Springs, CA 92262-5750 Ph: (760) 320-6005 |
Dr. Vladislav Bargman, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1221 N Indian Canyon Dr, Palm Springs, CA 92262 Phone: 760-610-8650 Fax: 760-864-7196 | |
Saman Shafaat Talab, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1221 N Indian Canyon Dr, Palm Springs, CA 92262 Phone: 760-760-4343 |