| Dr Philip Song, MD | |
|
3400 Delta Fair Blvd, Antioch, CA 94509-4004 | |
| (925) 817-5600 | |
| Not Available |
| Full Name | Dr Philip Song |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 15 Years |
| Location | 3400 Delta Fair Blvd, Antioch, 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 |
|---|---|---|---|
| 1083859888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | A161047 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 10968 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Philip Song, MD 3400 Delta Fair Blvd, Antioch, CA 94509-4004 Ph: () - | Dr Philip Song, MD 3400 Delta Fair Blvd, Antioch, CA 94509-4004 Ph: (925) 817-5600 |
Philip F. Nelson, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 5601 Deer Valley Rd, Antioch, CA 94531 Phone: 925-813-6500 | |
Elizabeth Seidler, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5187 | |
Dr. Noel Tsun-dah Chiu, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3436 Hillcrest Ave, Suite 150, Antioch, CA 94531 Phone: 925-754-6767 | |
Monica Huynh, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-817-5600 |