| Jennifer Grayzar, MD | |
|
4000 Civic Center Dr Ste 206, San Rafael, CA 94903-5233 | |
| (415) 925-8865 | |
| Not Available |
| Full Name | Jennifer Grayzar |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 4000 Civic Center Dr Ste 206, San Rafael, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336160530 | NPI | - | NPPES |
| 00A658580 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A65858 (California) | Primary |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Stat Med Pc A California Medical Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891132106 PECOS PAC ID: 1850528530 Enrollment ID: O20140204000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Grayzar, MD 2100 Powell St, Suite 900, Emeryville, CA 94608-1826 Ph: (510) 350-2600 | Jennifer Grayzar, MD 4000 Civic Center Dr Ste 206, San Rafael, CA 94903-5233 Ph: (415) 925-8865 |
Kurt Hoyt Kunzel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Civic Center Dr, San Rafael, CA 94903 Phone: 209-342-2300 Fax: 209-524-4240 | |
Douglas C. Harris, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Cynthia Billmeyer Clark, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4000 Civic Center Dr, San Rafael, CA 94903 Phone: 209-342-2300 Fax: 209-524-4240 | |
Michael J. Sexton, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Seth M. Peckler, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Robert J. Stein, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 |