| Dr Elpidio C Mariano, MD | |
|
106 Lynch Creek Way, Suite 9b, Petaluma, CA 94954-2356 | |
| (707) 763-1575 | |
| (707) 763-9172 |
| Full Name | Dr Elpidio C Mariano |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 54 Years |
| Location | 106 Lynch Creek Way, Petaluma, 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 |
|---|---|---|---|
| 1063524528 | NPI | - | NPPES |
| 00A398170 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | A39817 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Petaluma Valley Hospital | Petaluma, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Foundation | 8921993205 | 1329 |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elpidio C Mariano, MD 106 Lynch Creek Way, Suite 9b, Petaluma, CA 94954-2356 Ph: (707) 763-1575 | Dr Elpidio C Mariano, MD 106 Lynch Creek Way, Suite 9b, Petaluma, CA 94954-2356 Ph: (707) 763-1575 |
Dr. Richard Eugene Altieri Perez, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1456 Professional Dr, Suite #404, Petaluma, CA 94954 Phone: 707-763-3967 | |
Dr. Peter Vincent Leoni, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1116 B St, Petaluma, CA 94952 Phone: 707-781-6926 Fax: 707-762-2145 | |
Sherwin Abdoli, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-303-1709 Fax: 707-476-2235 | |
Eiler John Sommerhaug, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1383 N Mcdowell Blvd, Suite 110, Petaluma, CA 94954 Phone: 707-766-9852 Fax: 707-766-1749 | |
Dr. Sapoora Manshaii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-778-1111 |