| Dr Randall K Wenokur, MD | |
|
6600 Lone Tree Way, Brentwood, CA 94513-5256 | |
| (925) 685-7400 | |
| (925) 685-0917 |
| Full Name | Dr Randall K Wenokur |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 37 Years |
| Location | 6600 Lone Tree Way, Brentwood, 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 |
|---|---|---|---|
| 1669562427 | NPI | - | NPPES |
| G67072 | Other | CA | LICENSE |
| ZZZ21406Z | Other | MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YX0602X | Otolaryngology - Otolaryngic Allergy | F80706 (California) | Secondary |
| 207Y00000X | Otolaryngology | F80706 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John Muir Medical Center - Walnut Creek Campus | Walnut creek, CA | Hospital |
| John Muir Medical Center - Concord Campus | Concord, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bass Medical Group | 9032111281 | 279 |
| Entity Name | John Muir Trauma Physicians Billing Service |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093864837 PECOS PAC ID: 3476542515 Enrollment ID: O20050420001452 |
| Entity Name | Bass Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174253405 PECOS PAC ID: 9032111281 Enrollment ID: O20070201000181 |
| Entity Name | Regents Of The University Of California - Ucsf |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265890263 PECOS PAC ID: 3375822471 Enrollment ID: O20161114000177 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randall K Wenokur, MD 6600 Lone Tree Way, Brentwood, CA 94513-5256 Ph: (925) 685-7400 | Dr Randall K Wenokur, MD 6600 Lone Tree Way, Brentwood, CA 94513-5256 Ph: (925) 685-7400 |
Dr. Frederick S Rosen, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1181 Central Blvd Ste B, Brentwood, CA 94513 Phone: 925-463-0336 Fax: 925-463-1387 | |
Ira Harold Buchalter, Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2029 Tempranillo Ln, Brentwood, CA 94513 Phone: 925-204-5099 | |
Bassem Said, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1240 Central Blvd Suite A2, Brentwood, CA 94513 Phone: 925-753-1986 |