| John Kevin Geisse, MD | |
|
2290 Sacramento St, Vallejo, CA 94590-2929 | |
| (707) 643-5785 | |
| (707) 643-8810 |
| Full Name | John Kevin Geisse |
|---|---|
| Gender | Male |
| Speciality | Micrographic Dermatologic Surgery (mds) |
| Experience | 40 Years |
| Location | 2290 Sacramento St, Vallejo, 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 |
|---|---|---|---|
| 1275571028 | NPI | - | NPPES |
| GR0023150 | Medicaid | CA | |
| ZZZ97788Z | Other | CA | MEDICARE GROUP PTAN |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Solano Dermatology Associates Inc | 6305840422 | 6 |
| Entity Name | Solano Dermatology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922052729 PECOS PAC ID: 6305840422 Enrollment ID: O20060928000473 |
| Mailing Address | Practice Location Address |
|---|---|
| John Kevin Geisse, MD 2290 Sacramento St, Vallejo, CA 94590-2929 Ph: (707) 643-5785 | John Kevin Geisse, MD 2290 Sacramento St, Vallejo, CA 94590-2929 Ph: (707) 643-5785 |
Shadi Rashtak, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Dr. Monica A Lawry, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Eileen Crowley, MD Dermatology Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Serena Mraz, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2290 Sacramento St, Vallejo, CA 94590 Phone: 707-643-5785 Fax: 707-643-8810 | |
Robin St. Clair Gray, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Paradi Mirmirani, MD Dermatology Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 |