| John Craig Elliott, MD | |
|
4000 Civic Center Dr Ste 206, San Rafael, CA 94903-5233 | |
| (415) 925-8070 | |
| (415) 461-1305 |
| Full Name | John Craig Elliott |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| 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 |
|---|---|---|---|
| 1821042292 | NPI | - | NPPES |
| 472100 | Medicaid | AZ |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Entity Name | Regents Univ Of California Ucsf |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124439807 PECOS PAC ID: 6305160300 Enrollment ID: O20150122001375 |
| Mailing Address | Practice Location Address |
|---|---|
| John Craig Elliott, MD 4000 Civic Center Dr Ste 206, San Rafael, CA 94903-5233 Ph: (415) 925-8070 | John Craig Elliott, MD 4000 Civic Center Dr Ste 206, San Rafael, CA 94903-5233 Ph: (415) 925-8070 |
Shelley A Palfy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4000 Civic Center Dr, #205, San Rafael, CA 94903 Phone: 415-479-7244 Fax: 415-479-0917 | |
Dr. Mercedes Traverso, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1650 Los Gamos Dr, San Rafael, CA 94903 Phone: 415-444-4460 | |
Aimy Grace Taniguchi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6 Sierra Cir, San Rafael, CA 94901 Phone: 415-454-7388 | |
Andrea H. Feeback-lee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Dr. Peter John Simon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3110 Kerner Blvd, San Rafael, CA 94901 Phone: 415-448-1500 | |
Dr. Fernando Ulloa, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 711 D St, Suite 113, San Rafael, CA 94901 Phone: 415-454-4100 | |
Ann Troy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 920 Northgate Dr, Suite #9, San Rafael, CA 94903 Phone: 415-479-9797 Fax: 415-479-9712 |