| Jennifer Freeman, | |
|
3883 Airway Dr Ste 203, Santa Rosa, CA 95403-1671 | |
| (707) 521-7760 | |
| (707) 521-7759 |
| Full Name | Jennifer Freeman |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 8 Years |
| Location | 3883 Airway Dr Ste 203, Santa Rosa, 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 |
|---|---|---|---|
| 1417319757 | NPI | - | NPPES |
| A153193 | Other | CA | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | A153193 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| California Pacific Medical Ctr-davies Campus Hosp | San francisco, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Bay Medical Foundation | 4284538778 | 2941 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Freeman, 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (707) 521-7760 | Jennifer Freeman, 3883 Airway Dr Ste 203, Santa Rosa, CA 95403-1671 Ph: (707) 521-7760 |
Ligaya Francis Park, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2725 Mendocino Ave, Santa Rosa, CA 95403 Phone: 707-545-4537 Fax: 707-545-6726 | |
Judith Hong, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2725 Mendocino Ave, Santa Rosa, CA 95403 Phone: 707-545-4537 Fax: 707-545-6726 | |
Dr. William Francis Kivett, MD, FAAD, FACS Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1140 Sonoma Ave Ste 1a, Santa Rosa, CA 95405 Phone: 707-275-6410 | |
Dr. Stephen D. Schwartz, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4727a Hoen Ave, Santa Rosa, CA 95405 Phone: 707-527-0342 Fax: 707-527-0818 | |
Dr. Henry Eric Degroot, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 196 Wikiup Dr, Santa Rosa, CA 95403 Phone: 707-527-9517 Fax: 707-527-9913 | |
Dr. Robert An-kuo Lee, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3883 Airway Dr Ste 203, Santa Rosa, CA 95403 Phone: 707-521-7760 Fax: 707-521-7759 | |
Dr. Julie Christine Plante, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6574 Oakmont Dr, Ste B, Santa Rosa, CA 95409 Phone: 707-542-5664 Fax: 707-542-6887 |