| Dr Michael Lee Wynn, MD | |
|
5601 Norris Canyon Rd, Ste 100, San Ramon, CA 94583-5407 | |
| (925) 277-1055 | |
| (925) 277-1915 |
| Full Name | Dr Michael Lee Wynn |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 47 Years |
| Location | 5601 Norris Canyon Rd, San Ramon, 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 |
|---|---|---|---|
| 1285673996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 006398000 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| San Ramon Regional Medical Center | San ramon, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Bay Medical Foundation | 4284538778 | 3318 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1982845186 PECOS PAC ID: 4284538778 Enrollment ID: O20090501000247 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1104067115 PECOS PAC ID: 4284538778 Enrollment ID: O20090501000456 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1497996524 PECOS PAC ID: 4284538778 Enrollment ID: O20090506000097 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1568851327 PECOS PAC ID: 4284538778 Enrollment ID: O20170927001545 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Lee Wynn, MD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (925) 277-1055 | Dr Michael Lee Wynn, MD 5601 Norris Canyon Rd, Ste 100, San Ramon, CA 94583-5407 Ph: (925) 277-1055 |
Dr. Aileen Almuete Murphy, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5601 Norris Canyon Rd Ste 310, San Ramon, CA 94583 Phone: 925-338-8511 Fax: 925-338-8888 | |
William Norman Hamstra, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2305 Camino Ramon, Suite 217, San Ramon, CA 94583 Phone: 925-447-0660 Fax: 925-443-7506 | |
Dr. Ron E Cooper, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1081 Market Place, Suite # 600, San Ramon, CA 94583 Phone: 925-725-4228 | |
Dr. Barry N Gardiner, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2301 Camino Ramon, Suite 215, San Ramon, CA 94583 Phone: 925-275-1210 Fax: 925-275-1200 | |
Dr. Jing Zhou, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5601 Norris Canyon Rd, San Ramon, CA 94583 Phone: 925-277-1055 |