Dr Trent Dennison Douglas, MD | |
350 Bon Air Rd Ste 300, Greenbrae, CA 94904-1745 | |
(415) 925-2880 | |
(415) 925-2884 |
Full Name | Dr Trent Dennison Douglas |
---|---|
Gender | Male |
Speciality | Plastic Surgery |
Location | 350 Bon Air Rd Ste 300, Greenbrae, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023176302 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | A62940 (California) | Secondary |
208200000X | Plastic Surgery | A062940 (California) | Primary |
Entity Name | Plastic Surgery Specialists, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184801854 PECOS PAC ID: 1456405422 Enrollment ID: O20100820001048 |
Mailing Address | Practice Location Address |
---|---|
Dr Trent Dennison Douglas, MD 350 Bon Air Rd Ste 300, Greenbrae, CA 94904-1745 Ph: (415) 925-2880 | Dr Trent Dennison Douglas, MD 350 Bon Air Rd Ste 300, Greenbrae, CA 94904-1745 Ph: (415) 925-2880 |
Kimberly Anne Henry, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 350 Bon Air Rd Ste 1, Ste 1, Greenbrae, CA 94904 Phone: 415-924-1313 Fax: 415-925-1957 | |
Cynthia M Goodman, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1240 S Eliseo Dr, Ste 201, Greenbrae, CA 94904 Phone: 415-925-8555 Fax: 415-925-4082 | |
Stanley Gordon Poulos, Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 350 Bon Air Road, Suite 300, Greenbrae, CA 94904 Phone: 415-925-2880 Fax: 415-925-2884 | |
Yngvar A Hvistendahl, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 350 Bon Air Road, Suite 300, Greenbrae, CA 94904 Phone: 415-925-2880 Fax: 415-925-2884 | |
Roland Takashi Minami, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1240, South Eliseo Dr 102, Greenbrae, CA 94904 Phone: 415-461-1240 |