| Dr Leroy Evan Custer, MD | |
|
2450 Ashby Ave, Berkeley, CA 94705-2067 | |
| (925) 296-7156 | |
| (925) 296-7174 |
| Full Name | Dr Leroy Evan Custer |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 2450 Ashby Ave, Berkeley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538104179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | G12559 (California) | Primary |
| Entity Name | Contra Costa County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376620336 PECOS PAC ID: 8628052974 Enrollment ID: O20050707001058 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Leroy Evan Custer, MD 175 Lennon Ln, Suite 100, Walnut Creek, CA 94598-2485 Ph: (925) 296-7156 | Dr Leroy Evan Custer, MD 2450 Ashby Ave, Berkeley, CA 94705-2067 Ph: (925) 296-7156 |
Dr. Patrick Swift, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2001 Dwight Way, Berkeley, CA 94704 Phone: 510-204-2462 Fax: 510-204-1499 |
Dr. Peggy Shih-pei Wu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2312 Russell St, Berkeley, CA 94705 Phone: 617-817-5207 |
James Lawrence Rembert, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2001 Dwight Way, Berkeley, CA 94704 Phone: 510-204-5311 Fax: 510-204-1499 |
Dr. Alfred L Horowitz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 927 Euclid Ave, Berkeley, CA 94708 Phone: 510-548-7634 Fax: 888-633-8231 |
Anton Pogany, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2450 Ashby Ave, Berkeley, CA 94705 Phone: 925-296-7156 Fax: 925-296-7174 |
Dr. Kobi Ledor, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 55 Vicente Rd, Berkeley, CA 94705 Phone: 510-845-3121 Fax: 510-898-0900 |
Dr. Lawrence Holmes, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2450 Ashby Ave, Berkeley, CA 94705 Phone: 925-296-7156 Fax: 925-296-7174 |