Dr Keedra Deshauna Mcneill, MD | |
975 Sereno Dr, Vallejo, CA 94589-2441 | |
(707) 651-2005 | |
Not Available |
Full Name | Dr Keedra Deshauna Mcneill |
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Gender | Female |
Speciality | Pediatrics |
Location | 975 Sereno Dr, Vallejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952570939 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A98735 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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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 |
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Dr Keedra Deshauna Mcneill, MD 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-2005 | Dr Keedra Deshauna Mcneill, MD 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-2005 |
Troy R. Barber, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Dr. Alan K Sher, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2001 Springs Rd, Vallejo, CA 94591 Phone: 707-648-7337 Fax: 707-643-6907 | |
Dr. Maria Teruel, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Dr. Kimberly Lynn Seaton-smith, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Hospital Drive, Suite 200, Vallejo, CA 94589 Phone: 707-551-4900 Fax: 707-551-3617 | |
Dr. Sophie A Lay, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2001 Springs Rd, Vallejo, CA 94591 Phone: 707-648-7337 Fax: 707-643-6907 | |
Dr. Tami Hendriksz, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 365 Tuolumne St, Vallejo, CA 94590 Phone: 707-784-2001 Fax: 707-784-1494 | |
Flordelina O. Arroyo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 |