| Grace Fong, DO | |
|
1100 Larkspur Landing Cir Ste 10, Larkspur, CA 94939-1836 | |
| (415) 924-1214 | |
| (415) 924-1375 |
| Full Name | Grace Fong |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Experience | 20 Years |
| Location | 1100 Larkspur Landing Cir Ste 10, Larkspur, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952559585 | NPI | - | NPPES |
| 20A9698 | Other | CA | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A9698 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Santa Rosa Regional Hospital | Santa rosa, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Bay Medical Foundation | 4284538778 | 3318 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Entity Name | Chapa-de Indian Health Program, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114057163 PECOS PAC ID: 4981688520 Enrollment ID: O20040614000473 |
| Entity Name | North Sonoma County Health Care District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194824573 PECOS PAC ID: 4789594367 Enrollment ID: O20060406000251 |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Fong, DO 1100 Larkspur Landing Cir Ste 10, Larkspur, CA 94939-1836 Ph: (415) 924-1214 | Grace Fong, DO 1100 Larkspur Landing Cir Ste 10, Larkspur, CA 94939-1836 Ph: (415) 924-1214 |
Dr. Dylan L Bellavance, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 5 Bon Air Rd Ste 117, Larkspur, CA 94939 Phone: 415-448-1500 | |
Stephen Gary Mlawsky, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 228 Old Quarry Rd N, Larkspur, CA 94939 Phone: 916-849-6178 | |
Dr. Adhira Divagaran, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1100 Larkspur Landing Cir Ste 10, Larkspur, CA 94939 Phone: 415-924-1214 | |
Ms. Jacqueline Susanna Chan, D.O./OSTEOPATH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Larkspur Landing Circle #255, Larkspur, CA 94939 Phone: 415-945-3213 Fax: 415-329-5080 |