| Hunter Longan Bohlen, MD | |
|
4000 Civic Center Dr Ste 209, San Rafael, CA 94903-5233 | |
| (415) 925-8963 | |
| (628) 240-2181 |
| Full Name | Hunter Longan Bohlen |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 6 Years |
| Location | 4000 Civic Center Dr Ste 209, San Rafael, 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 |
|---|---|---|---|
| 1336763598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | A185214 (California) | Primary |
| 207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | A185214 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Stanford Health Care | Stanford, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stanford Health Care | 6709797491 | 3152 |
| Entity Name | Stanford Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
| Entity Name | University of California San Francisco |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
| Entity Name | UCSF Dept of Surgery |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477627537 PECOS PAC ID: 7719886373 Enrollment ID: O20040102000839 |
| Entity Name | UCSF Medical Group Business Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
| Entity Name | Lpch Medical Group Div of Lucile |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
| Entity Name | Regents Univ of California UCSF |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124439807 PECOS PAC ID: 6305160300 Enrollment ID: O20150122001375 |
| Mailing Address | Practice Location Address |
|---|---|
| Hunter Longan Bohlen, MD 4000 Civic Center Dr Ste 209, San Rafael, CA 94903-5233 Ph: (415) 925-8963 | Hunter Longan Bohlen, MD 4000 Civic Center Dr Ste 209, San Rafael, CA 94903-5233 Ph: (415) 925-8963 |
Richard T. Fong, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 |
Eric Bava, M.D. Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 4000 Civic Center Dr Ste 209, San Rafael, CA 94903 Phone: 415-925-8963 Fax: 628-240-2181 |
Dr. Peter Douglas Mcqueen, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-4430 |
John F. Safanda, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 |
Francois S. Antounian, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 |