| Jennifer Avise, MD | |
|
5924 Stoneridge Dr Ste 108, Pleasanton, CA 94588-5400 | |
| (925) 892-4290 | |
| Not Available |
| Full Name | Jennifer Avise |
|---|---|
| Gender | Female |
| Speciality | Vascular Surgery |
| Experience | 16 Years |
| Location | 5924 Stoneridge Dr Ste 108, Pleasanton, 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 |
|---|---|---|---|
| 1801039615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | A137711 (California) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | A137711 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alta Bates Summit Medical Center | Oakland, CA | Hospital |
| Stanford Health Care - Valleycare | Pleasanton, CA | Hospital |
| John Muir Medical Center - Concord Campus | Concord, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bass Medical Group | 9032111281 | 279 |
| Entity Name | County Of Santa Clara |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588721500 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000757 |
| Entity Name | County Of Santa Clara |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
| Entity Name | John Muir Trauma Physicians Billing Service |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093864837 PECOS PAC ID: 3476542515 Enrollment ID: O20050420001452 |
| Entity Name | Bass Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174253405 PECOS PAC ID: 9032111281 Enrollment ID: O20070201000181 |
| Entity Name | County Of Santa Clara |
|---|---|
| Entity Type | Part B Supplier - Other Medical Care Group |
| Entity Identifiers | NPI Number: 1629301346 PECOS PAC ID: 1254244973 Enrollment ID: O20110318000170 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Avise, MD 5924 Stoneridge Dr Ste 108, Pleasanton, CA 94588-5400 Ph: () - | Jennifer Avise, MD 5924 Stoneridge Dr Ste 108, Pleasanton, CA 94588-5400 Ph: (925) 892-4290 |
Raman Nambisan, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 5575 W Las Positas Blvd, #270, Pleasanton, CA 94588 Phone: 925-460-3883 Fax: 925-460-3883 | |
Michael Christopher Gynn, MD Surgery Medicare: Medicare Enrolled Practice Location: 5555 W Las Positas Blvd, Pleasanton, CA 94588 Phone: 925-416-3440 | |
Mark Dy-liacco, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5555 W Las Positas Blvd, Pleasanton, CA 94588 Phone: 925-416-3440 | |
Mary Elizabeth Estakhri, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5565 W Las Positas Blvd Ste 260, Pleasanton, CA 94588 Phone: 925-534-0500 | |
John Victor Gahagan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5725 W Las Positas Blvd Ste 100, Pleasanton, CA 94588 Phone: 925-734-8130 | |
Dr. Chau Van Dang, MD Surgery Medicare: Medicare Enrolled Practice Location: 5575 W Las Positas Blvd, #270, Pleasanton, CA 94588 Phone: 925-460-3883 Fax: 925-460-3883 | |
Dr. William Yee, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4100 Foothill Rd, Pleasanton, CA 94588 Phone: 925-963-8948 Fax: 925-462-7992 |