| Jerry R Dwek, MD | |
|
725 Welch Rd, Palo Alto, CA 94304-1601 | |
| (650) 497-8000 | |
| Not Available |
| Full Name | Jerry R Dwek |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 39 Years |
| Location | 725 Welch Rd, Palo Alto, 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 |
|---|---|---|---|
| 1558335695 | NPI | - | NPPES |
| GR0083814 | Medicaid | CA | |
| GR0083812 | Medicaid | CA | |
| GR0083815 | Medicaid | CA | |
| GR0083817 | Medicaid | CA | |
| ZZZ75341Z | Medicaid | CA | |
| GR0083813 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085P0229X | Radiology - Pediatric Radiology | G86073 (California) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | G86073 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sharp Memorial Hospital | San diego, CA | Hospital |
| Sharp Coronado Hospital And Hlthcr Ctr | Coronado, CA | Hospital |
| Sharp Chula Vista Medical Center | Chula vista, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| San Diego Diagnostic Radiology Medical Group Inc | 0143134353 | 43 |
| San Diego Imaging-chula Vista Llc | 5496641813 | 39 |
| Entity Name | San Diego Diagnostic Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417988221 PECOS PAC ID: 0143134353 Enrollment ID: O20031112000793 |
| 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 | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558463927 PECOS PAC ID: 3577476761 Enrollment ID: O20040107000584 |
| 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 | San Diego Imaging-chula Vista Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649207812 PECOS PAC ID: 5496641813 Enrollment ID: O20151216001388 |
| Entity Name | San Diego Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780312371 PECOS PAC ID: 7911371737 Enrollment ID: O20230317002186 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry R Dwek, MD 725 Welch Rd, Palo Alto, CA 94304-1601 Ph: () - | Jerry R Dwek, MD 725 Welch Rd, Palo Alto, CA 94304-1601 Ph: (650) 497-8000 |
Praveen Jayapal, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 | |
Dr. Matilde Nino-murcia, M. D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3801 Miranda Ave, Palo Alto, CA 94304 Phone: 650-493-5000 | |
Dr. Gregory Brandt Louie, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr # H1307, Dept Of Radiology, Palo Alto, CA 94305 Phone: 650-723-6661 | |
Yueyang Guo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 | |
Dr. Allison Yuan Zhong, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 875 Blake Wilbur Dr, Palo Alto, CA 94304 Phone: 650-723-6171 | |
Thomas Floyd Osborne, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3801 Miranda Ave, Palo Alto, CA 94304 Phone: 650-493-5000 | |
Dr. Neil Hemant Thakur, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Department Of Radiology, Palo Alto, CA 94305 Phone: 913-940-5344 |