| Dr Fernando R Otero, MD | |
|
2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | |
| (925) 932-6330 | |
| (925) 932-0139 |
| Full Name | Dr Fernando R Otero |
|---|---|
| Gender | Male |
| Speciality | Surgery - Vascular Surgery |
| Location | 2637 Shadelands Dr, Walnut Creek, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346244183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | G54054 (California) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | G54054 (California) | Primary |
| Entity Name | John Muir Trauma Physicians Billing Service |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093864837 PECOS PAC ID: 3476542515 Enrollment ID: O20050420001452 |
| Entity Name | Shadelands Endovascular Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1245620954 PECOS PAC ID: 9436440070 Enrollment ID: O20160629000330 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fernando R Otero, MD 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 Ph: (925) 932-6330 | Dr Fernando R Otero, MD 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 Ph: (925) 932-6330 |
Dr. Jesus Gil Jimenez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4110 | |
William M. Greif, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 | |
Dr. Negar Monavar Salehomoum, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 365 Lennon Ln Ste 290, Walnut Creek, CA 94598 Phone: 925-274-9000 Fax: 925-274-9004 | |
Kara L. Riley-paull, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 | |
Dr. Irene Jia-shin Lo, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 130 La Casa Via, Building 3, Suite 211, Walnut Creek, CA 94598 Phone: 925-933-0984 | |
Dr. Aaron Brandon Chin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 | |
Charles F. Rieder, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 |