| Dr Lawrence Ray Burchett Iv, MD | |
|
2500 Alhambra Ave, Martinez, CA 94553-3156 | |
| (925) 370-5110 | |
| (925) 370-5142 |
| Full Name | Dr Lawrence Ray Burchett Iv |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2500 Alhambra Ave, Martinez, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619159639 | NPI | - | NPPES |
| 1619159639 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A101752 (California) | Primary |
| 207P00000X | Emergency Medicine | A101752 (California) | Secondary |
| Entity Name | County Of Santa Clara |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
| Entity Name | Hospitalist Medicine Physicians Of California Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184663965 PECOS PAC ID: 8426062027 Enrollment ID: O20060202000956 |
| Entity Name | Sonoma Valley Emergency Physicians Medical Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710164629 PECOS PAC ID: 1355420191 Enrollment ID: O20080506000390 |
| Entity Name | Western Sierra Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881995272 PECOS PAC ID: 6709069396 Enrollment ID: O20110318000559 |
| Entity Name | San Joaquin Emergency Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588960413 PECOS PAC ID: 6305022047 Enrollment ID: O20110516000103 |
| Entity Name | Mount Eddy Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Other |
| Entity Identifiers | NPI Number: 1316299787 PECOS PAC ID: 7416100714 Enrollment ID: O20130118000029 |
| Entity Name | Elite Hospitalist Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639598758 PECOS PAC ID: 9638394455 Enrollment ID: O20141020002313 |
| Entity Name | Chavez Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689045015 PECOS PAC ID: 3870897580 Enrollment ID: O20160201000702 |
| Entity Name | Superior Hospitalist Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780047712 PECOS PAC ID: 1456650928 Enrollment ID: O20160504002343 |
| Entity Name | Grand Avenue Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962913632 PECOS PAC ID: 7315206653 Enrollment ID: O20180112002313 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lawrence Ray Burchett Iv, MD 50 Douglas Dr, Suite 391, Martinez, CA 94553-4098 Ph: (925) 957-5409 | Dr Lawrence Ray Burchett Iv, MD 2500 Alhambra Ave, Martinez, CA 94553-3156 Ph: (925) 370-5110 |
Charlotte Standefer, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2500 Alhambra Ave, Martinez, CA 94553 Phone: 925-370-5110 Fax: 925-370-5142 | |
Clarisse Anne R. Wong, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Muir Rd, Martinez, CA 94553 Phone: 925-372-1999 | |
Donald Widder, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Alhambra Ave, Martinez, CA 94553 Phone: 925-370-5110 Fax: 925-370-5142 | |
Michelle Orengo-mcfarlane, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2500 Alhambra Ave, Martinez, CA 94553 Phone: 510-231-9400 Fax: 510-231-9401 | |
David E Longstroth, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2500 Alhambra Ave, Martinez, CA 94553 Phone: 925-370-5200 | |
Aaron Eliot Gach-kvenild, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2500 Alhambra Ave, Martinez, CA 94553 Phone: 925-370-5117 | |
Elise Lewis, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Alhambra Ave, Martinez, CA 94553 Phone: 925-370-5110 Fax: 925-370-5142 |