| Dr Jesse Julian Waggoner, MD | |
|
1301 Shoreway Rd, Suite 100, Belmont, CA 94002-4151 | |
| (650) 596-7000 | |
| (650) 596-7096 |
| Full Name | Dr Jesse Julian Waggoner |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1301 Shoreway Rd, Belmont, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003081357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A110151 (California) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | A110151 (California) | Primary |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jesse Julian Waggoner, MD 1301 Shoreway Rd, Suite 100, Belmont, CA 94002-4151 Ph: (650) 596-7000 | Dr Jesse Julian Waggoner, MD 1301 Shoreway Rd, Suite 100, Belmont, CA 94002-4151 Ph: (650) 596-7000 |
Shiva Salmasi, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1301 Shoreway Rd Ste 100, Belmont, CA 94002 Phone: 650-596-7000 Fax: 650-596-7093 |
Pragya Jain, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1301 Shoreway Rd Ste 100, Belmont, CA 94002 Phone: 650-596-7000 Fax: 650-596-7096 |
James J Chen, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1601 El Camino Real Ste 303, Belmont, CA 94002 Phone: 650-654-3954 Fax: 650-654-3997 |
Dennis N Hughes, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 1301 Shoreway Rd Ste 100, Belmont, CA 94002 Phone: 650-596-7000 Fax: 650-596-7093 |
Dr. Elizabeth Soda, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 1301 Shoreway Rd, Suite 100, Belmont, CA 94002 Phone: 650-596-7000 Fax: 650-596-7096 |
Dr. Gary Timothy Lee, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 2140 Carlmont Dr, Belmont, CA 94002 Phone: 650-591-9601 Fax: 888-480-8735 |
Romana Usman, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1301 Shoreway Rd Ste 100, Belmont, CA 94002 Phone: 650-596-7000 Fax: 650-596-7093 |