| Jeid Merritt, MD | |
|
975 Sereno Dr, Vallejo, CA 94589-2441 | |
| (718) 240-6347 | |
| Not Available |
| Full Name | Jeid Merritt |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 975 Sereno Dr, Vallejo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306474614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A199534 (California) | Primary |
| 207P00000X | Emergency Medicine | 333607 (New York) | Secondary |
| Entity Name | The Brookdale Hospital Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720028772 PECOS PAC ID: 4284545799 Enrollment ID: O20031120000600 |
| Entity Name | Interfaith Emergency Medicine Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457643785 PECOS PAC ID: 7012186638 Enrollment ID: O20110816000191 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeid Merritt, MD 422 Cornell Ave, Albany, CA 94706-1207 Ph: (714) 600-5137 | Jeid Merritt, MD 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (718) 240-6347 |
Jason Willis-shore, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Hannah Stark St. Francis, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-5504 | |
Timothy Charles Miller, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Steven P. Whiteley, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Judith E Peck, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-3373 Fax: 707-651-2478 | |
Peter P. Chau, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Neil L. Markus, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 |