| Dr Keith Phillip Donald, MD | |
|
5196 Hill Rd E, Suite 201, Lakeport, CA 95453-6360 | |
| (707) 263-4108 | |
| (707) 263-4101 |
| Full Name | Dr Keith Phillip Donald |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 38 Years |
| Location | 5196 Hill Rd E, Lakeport, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285768234 | NPI | - | NPPES |
| 00G766411 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | G76641 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Lakeside Hospital | Lakeport, CA | Hospital |
| Entity Name | Surgical Affiliates Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932440781 PECOS PAC ID: 3375782667 Enrollment ID: O20130618000127 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keith Phillip Donald, MD 5196 Hill Rd E, Suite 201, Lakeport, CA 95453-6360 Ph: (707) 263-4108 | Dr Keith Phillip Donald, MD 5196 Hill Rd E, Suite 201, Lakeport, CA 95453-6360 Ph: (707) 263-4108 |
Dr. Kraivit Angsupanich, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 801 11th St, Suite 1, Lakeport, CA 95453 Phone: 707-262-5568 Fax: 707-263-6888 | |
Stephen Peter Bradley, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5375 Lakeshore Blvd, Lakeport, CA 95453 Phone: 707-263-5679 Fax: 707-263-7781 | |
Donovan C Bland, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5196 Hill Rd E Ste 300, Lakeport, CA 95453 Phone: 707-263-6885 Fax: 707-263-6624 |