| Dr Noel Serrano, MD | |
|
6117 Fairlane Dr, Oakland, CA 94611-1807 | |
| (707) 535-9279 | |
| (707) 303-8301 |
| Full Name | Dr Noel Serrano |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 6117 Fairlane Dr, Oakland, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700925211 | NPI | - | NPPES |
| 036-112248 | Other | IL | LIC PHY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-112248 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | A108658 (California) | Primary |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Entity Name | Noel Serrano Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154010072 PECOS PAC ID: 6800246893 Enrollment ID: O20240103003281 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Noel Serrano, MD 6117 Fairlane Dr, Oakland, CA 94611-1807 Ph: (707) 535-9279 | Dr Noel Serrano, MD 6117 Fairlane Dr, Oakland, CA 94611-1807 Ph: (707) 535-9279 |
Jeeven Brah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Hawthorne Ave, Room 2346, Oakland, CA 94609 Phone: 510-869-6883 | |
Sanya Wadhwa, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Frank H Ogawa Plz Ste 355, Oakland, CA 94612 Phone: 510-444-3297 Fax: 510-444-6421 | |
Michael Uzoma Ohabughiro, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1411 E 31st St Fl 2, Oakland, CA 94602 Phone: 510-437-5039 Fax: 510-535-7313 | |
Lisha Lynne Wilson, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 400 29th St, Ste 501, Oakland, CA 94609 Phone: 510-268-1800 Fax: 510-268-1803 | |
Chee C. Chow, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000 | |
David M. Bliss, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1950 Franklin St, Oakland, CA 94612 Phone: 510-987-1000 | |
Sally B. Slome, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000 |