| Dr Meredith Gavin Pham, MD | |
|
632 W Gibson Rd, Woodland, CA 95695-5169 | |
| (530) 668-2600 | |
| (530) 669-3638 |
| Full Name | Dr Meredith Gavin Pham |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 6 Years |
| Location | 632 W Gibson Rd, Woodland, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477176246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | A201838 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy General Hospital | Sacramento, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dermatology Associates Of West Texas, Llp | 7911048632 | 8 |
| Dignity Health Medical Foundation | 7810800661 | 1202 |
| Entity Name | Dermatology Associates Of West Texas, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679704530 PECOS PAC ID: 7911048632 Enrollment ID: O20100104000221 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Meredith Gavin Pham, MD 3400 Data Dr, Rancho Cordova, CA 95670-7956 Ph: () - | Dr Meredith Gavin Pham, MD 632 W Gibson Rd, Woodland, CA 95695-5169 Ph: (530) 668-2600 |
Dr. Christie Lyn Carroll, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 632 W Gibson Rd, Woodland, CA 95695 Phone: 530-668-2600 Fax: 530-669-3638 | |
Ingrid N Wahjudi, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 632 W Gibson Rd, Woodland, CA 95695 Phone: 530-668-2600 Fax: 530-669-3638 | |
Dr. Debra A Horney, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2081 Bronze Star Dr, Woodland, CA 95776 Phone: 530-668-2600 Fax: 530-661-1063 |