| Dr Jolly Philip, | |
|
1301 Shoreway Rd Ste 100, Belmont, CA 94002-4110 | |
| (650) 596-7000 | |
| (650) 596-7093 |
| Full Name | Dr Jolly Philip |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 1301 Shoreway Rd Ste 100, Belmont, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487653556 | NPI | - | NPPES |
| 364249586001 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C52441 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jolly Philip, 3400 Data Dr, Attn: Credentialing/payer Enrollment, Rancho Cordova, CA 95670-7956 Ph: () - | Dr Jolly Philip, 1301 Shoreway Rd Ste 100, Belmont, CA 94002-4110 Ph: (650) 596-7000 |
Nina Momoko Lippey, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Shoreway Rd Ste 100, Belmont, CA 94002 Phone: 650-596-7000 Fax: 650-596-7093 | |
Dr. Gary A Greensweig, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1301 Shoreway Rd, Ste. 100, Belmont, CA 94002 Phone: 650-596-7000 Fax: 650-596-7093 | |
Dr. Uyen Thuc Le, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Shoreway Rd Ste 100, Belmont, CA 94002 Phone: 650-596-7000 Fax: 650-596-7093 | |
Dr. Adil K Jadallah, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1301 Shoreway Rd, Suite 100, Belmont, CA 94002 Phone: 650-596-7000 Fax: 650-596-7093 | |
Matthew Yu, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Shoreway Rd Ste 100, Belmont, CA 94002 Phone: 650-596-7000 |