| Jill Walsh, MD | |
|
6555 Coyle Ave, Carmichael, CA 95608-0302 | |
| (916) 536-2500 | |
| Not Available |
| Full Name | Jill Walsh |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 6555 Coyle Ave, Carmichael, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386755767 | NPI | - | NPPES |
| G66619 | Other | CA | BLUE CROSS |
| 00G666190 | Medicaid | CA | |
| 7038199 | Other | CA | CIGNA |
| 1232511 | Other | CA | UNITED HEALTHCARE |
| 029615 | Other | CA | HEALTH NET |
| 94382 | Other | CA | FIRST HEALTH |
| 19708 | Other | CA | INTERPLAN |
| 5914451 | Other | CA | AETNA |
| 546782 | Other | CA | GREAT WEST |
| 000810564975 | Other | CA | PHCS |
| 90073071 | Other | CA | PACIFICARE |
| MCMG118100 | Other | CA | WESTERN HEALTH ADVANTAGE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | G66619 (California) | Primary |
| Entity Name | Dignity Health Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Walsh, MD 3400 Data Dr, Rancho Cordova, CA 95670-7956 Ph: () - | Jill Walsh, MD 6555 Coyle Ave, Carmichael, CA 95608-0302 Ph: (916) 536-2500 |
Anna Roysman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5810 Jameson Ct, Ste 1, Carmichael, CA 95608 Phone: 916-979-0621 Fax: 916-979-1110 | |
Radhika Ananthakrishna, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6555 Coyle Ave, Suite 200, Carmichael, CA 95648 Phone: 916-965-4612 | |
Dr. Anthony Edward Wartell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6501 Coyle Ave, Carmichael, CA 95608 Phone: 916-537-5135 Fax: 916-537-5435 | |
Michelle F. Mattison-kelly, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6555 Coyle Ave, Carmichael, CA 95608 Phone: 916-536-3520 | |
Gaurang N. Desai, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6501 Coyle Ave, Carmichael, CA 95608 Phone: 916-537-5135 Fax: 916-537-5435 | |
Dr. Jeannie Urquico Vista, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6555 Coyle Ave Ste 310, Carmichael, CA 95608 Phone: 916-965-4612 | |
Robert Casey Alan Finch, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6555 Coyle Ave Ste 310, Carmichael, CA 95608 Phone: 916-965-4612 |