| Dr Michael Odell Mann, MD | |
|
3901 Lone Tree Way, Antioch, CA 94509-6200 | |
| (925) 779-7274 | |
| (925) 706-1686 |
| Full Name | Dr Michael Odell Mann |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 3901 Lone Tree Way, Antioch, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922042811 | NPI | - | NPPES |
| 00G370190 | Other | CA | BS OF CA |
| 00G370190 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | G37019 (California) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Odell Mann, MD 4053 Lone Tree Way, Suite 102, Antioch, CA 94531-6200 Ph: (925) 756-3427 | Dr Michael Odell Mann, MD 3901 Lone Tree Way, Antioch, CA 94509-6200 Ph: (925) 779-7274 |
Arnold A Weekes, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4053 Lone Tree Way Ste 201, Antioch, CA 94531 Phone: 925-756-3400 Fax: 925-756-3410 | |
Mr. Donald Linnell Anderson, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 925-754-1842 | |
Dr. Jerry Andrew Peer, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 925-779-7200 | |
Purushotham Bhagavath, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 925-779-7276 | |
Dr. Henry C Liu, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 925-779-7274 Fax: 925-779-3026 | |
Toni Carlton, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 825-779-7274 |