| Guy William Nicolette, MD | |
|
Uc Berkeley Univ Health Svcs, 2222 Bancroft Way, Berkeley, CA 94720-4300 | |
| (510) 643-8569 | |
| (510) 643-5079 |
| Full Name | Guy William Nicolette |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Sports Medicine |
| Location | Uc Berkeley Univ Health Svcs, Berkeley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104885524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME72335 (Florida) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | ME72335 (Florida) | Primary |
| Entity Name | Golden State Orthopedics & Spine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972552990 PECOS PAC ID: 8224940739 Enrollment ID: O20031103000721 |
| Mailing Address | Practice Location Address |
|---|---|
| Guy William Nicolette, MD Uc Berkeley Univ Health Svcs, 2222 Bancroft Way, Berkeley, CA 94720-4300 Ph: (510) 643-8569 | Guy William Nicolette, MD Uc Berkeley Univ Health Svcs, 2222 Bancroft Way, Berkeley, CA 94720-4300 Ph: (510) 643-8569 |
Dr. Susan Lee Ivey, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2140 Shattuck Ave, 10th Floor, Health Research For Action, Uc-berkeley Sph, Berkeley, CA 94704 Phone: 510-643-1883 Fax: 510-643-7976 | |
Dr. Julie A Goo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2636 Telegraph Ave, Berkeley, CA 94704 Phone: 510-841-1647 Fax: 810-848-4924 | |
Mr. Sharad Kumar Kohli, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2031 6th St, West Berkeley Family Practice, Berkeley, CA 94710 Phone: 510-981-4234 | |
Audrey Dandrea, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 San Pablo Ave # 310, Berkeley, CA 94702 Phone: 925-985-5020 | |
Dana Gersten, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1711 Ward St, Berkeley, CA 94703 Phone: 541-386-3911 | |
Julia Marino, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Lifelong Ashby Health Center, 3075 Adeline St #280, Berkeley, CA 94703 Phone: 510-981-4100 | |
Dr. Don Weinreich, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3000 Colby St, Suite #307, Berkeley, CA 94705 Phone: 510-848-5310 Fax: 510-848-5510 |