| Dr Shane Paul Dormady, MD, PHD | |
|
555 Knowles Dr Ste 200, Los Gatos, CA 95032-1551 | |
| (408) 866-3989 | |
| (650) 962-4592 |
| Full Name | Dr Shane Paul Dormady |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 25 Years |
| Location | 555 Knowles Dr Ste 200, Los Gatos, 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 |
|---|---|---|---|
| 1417024654 | NPI | - | NPPES |
| 00A872320 | Medicaid | CA | |
| 00A872321 | Other | CA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RX0202X | Internal Medicine - Medical Oncology | A87232 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| El Camino Hospital | Mountain view, CA | Hospital |
| Stanford Health Care | Stanford, CA | Hospital |
| Good Samaritan Hospital | San jose, CA | Hospital |
| Hazel Hawkins Memorial Hospital | Hollister, CA | Hospital |
| Stanford Health Care - Valleycare | Pleasanton, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| El Camino Health Medical Network Llc | 6103115183 | 201 |
| Entity Name | El Camino Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578831764 PECOS PAC ID: 5991963126 Enrollment ID: O20120220000829 |
| Entity Name | Silicon Valley Medical Development Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164880761 PECOS PAC ID: 6103115183 Enrollment ID: O20160513001617 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shane Paul Dormady, MD, PHD 2505 Hospital Dr, Mountain View, CA 94040-4127 Ph: (650) 988-8338 | Dr Shane Paul Dormady, MD, PHD 555 Knowles Dr Ste 200, Los Gatos, CA 95032-1551 Ph: (408) 866-3989 |
Dr. Allison Lee Remesz, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 14251 Winchester Blvd Ste 200, Los Gatos, CA 95032 Phone: 408-426-5540 | |
Dr. William B Ricks, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 17480 High St, Los Gatos, CA 95030 Phone: 408-497-2472 Fax: 408-354-5543 | |
Dr. Catherine Anne Grellet, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 15251 National Ave, Suite 104, Los Gatos, CA 95032 Phone: 408-358-7360 Fax: 408-358-7357 | |
Melissa Zheng Yan Wu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15215 National Ave, Suite 200, Los Gatos, CA 95032 Phone: 408-358-1841 Fax: 408-358-3562 | |
Dr. Kenneth Jay Silver, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 W Parr Ave, Suite R, Los Gatos, CA 95032 Phone: 408-857-4061 | |
Edward Kern Wong, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 14911 National Ave, Ste 3, Los Gatos, CA 95032 Phone: 408-356-9121 Fax: 408-356-4628 | |
Dr. Michael J Tierney, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15400 Los Gatos Blvd, Los Gatos, CA 95032 Phone: 408-730-6200 |