| Dr Eric C Disbrow, MD | |
|
1775 3rd St, Atwater, CA 95301-3608 | |
| (209) 358-5611 | |
| (209) 358-0219 |
| Full Name | Dr Eric C Disbrow |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1775 3rd St, Atwater, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730150897 | NPI | - | NPPES |
| ZZZ77315Z | Other | CA | MEDI-CAL CALIFORNIA |
| 080025592 | Other | CA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G21038 (California) | Primary |
| Entity Name | Atwater Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356438410 PECOS PAC ID: 7113927393 Enrollment ID: O20070111000626 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eric C Disbrow, MD 1775 3rd St, Atwater, CA 95301-3608 Ph: (209) 358-5611 | Dr Eric C Disbrow, MD 1775 3rd St, Atwater, CA 95301-3608 Ph: (209) 358-5611 |
Mr. Derrick Pratte Olzack, P.A. Family Medicine Medicare: Medicare Enrolled Practice Location: 1775 Third St, Atwater, CA 95301 Phone: 209-358-5611 Fax: 209-358-0219 | |
Mr. Rodrigo Dezubiria, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3605 Hospital Rd, Atwater, CA 95301 Phone: 209-381-2000 Fax: 209-381-2010 | |
Dr. Tahir Yaqub, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1775 3rd St, Atwater, CA 95301 Phone: 209-358-5611 Fax: 209-358-0219 | |
Dr. William Earl Nation, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1775 3rd St, Atwater, CA 95301 Phone: 209-358-5611 Fax: 209-358-0219 | |
Dr. Steven L. Taggart, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1775 3rd St, Atwater, CA 95301 Phone: 209-358-5611 Fax: 209-358-0219 | |
Dr. Thavalinh Mark Sphabmixay, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1675 Shaffer Rd, Atwater, CA 95301 Phone: 209-383-5500 |