| Dr Melissa Louise Ennen, MD | |
|
2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | |
| (925) 932-6330 | |
| (925) 932-0139 |
| Full Name | Dr Melissa Louise Ennen |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 2637 Shadelands Dr, Walnut Creek, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316134885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | A95735 (California) | Primary |
| Entity Name | John Muir Trauma Physicians Billing Service |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093864837 PECOS PAC ID: 3476542515 Enrollment ID: O20050420001452 |
| Entity Name | Pontine Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053757609 PECOS PAC ID: 1052550266 Enrollment ID: O20130722000133 |
| Entity Name | Surgical Anesthesia Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982038378 PECOS PAC ID: 6406086594 Enrollment ID: O20140312000541 |
| Entity Name | Cep America - Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790401438 PECOS PAC ID: 3678897915 Enrollment ID: O20150115001110 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Melissa Louise Ennen, MD 210 N Tustin Ave, Santa Ana, CA 92705-3807 Ph: (714) 347-1010 | Dr Melissa Louise Ennen, MD 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 Ph: (925) 932-6330 |
Kevin George Kaiser, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598 Phone: 925-939-3000 Fax: 925-947-5286 | |
David Curtis Fitzgerald, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598 Phone: 925-939-3000 Fax: 925-947-5286 | |
Kurt Dieter Dittmar, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1607 Ygnacio Valley Rd, Walnut Creek, CA 94598 Phone: 925-939-3000 Fax: 925-947-5286 | |
Christine E. Sands, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 | |
David Aaron Shapiro, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598 Phone: 925-939-3000 Fax: 925-947-5286 | |
Nitin Kumar, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598 Phone: 925-939-3000 | |
Mark D. Piehler, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 |