| Karl Reinhard Beutner, MD PHD | |
|
480 Chadbourne Rd, Suite 201, Fairfield, CA 94534-9647 | |
| (707) 399-4500 | |
| (707) 399-9527 |
| Full Name | Karl Reinhard Beutner |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 480 Chadbourne Rd, Fairfield, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649217936 | NPI | - | NPPES |
| ZZZ97788Z | Other | CA | MEDICARE GROUP PTAN |
| GR0023150 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | G43543 (California) | Primary |
| 207NS0135X | Dermatology - Procedural Dermatology | G43543 (California) | Secondary |
| 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 |
|---|---|
| Karl Reinhard Beutner, MD PHD 2290 Sacramento St, Vallejo, CA 94590-2929 Ph: (707) 643-5785 | Karl Reinhard Beutner, MD PHD 480 Chadbourne Rd, Suite 201, Fairfield, CA 94534-9647 Ph: (707) 399-4500 |
Dr. Dorota Zuzanna Korta, M.D., PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2720 Low Ct, Fairfield, CA 94534 Phone: 707-427-4900 | |
Ghazel Waiz, PA-C Dermatology Medicare: Medicare Enrolled Practice Location: 1843 Atwoodville Ct, Fairfield, CA 94533 Phone: 707-416-5571 | |
Ingrid C. Freeny, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2720 Low Court, Fairfield, CA 94534 Phone: 707-427-4900 Fax: 707-432-2533 | |
Dr. Bien-aimee Vu Lau, M.D Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2720 Low Ct, Fairfield, CA 94534 Phone: 707-427-4900 Fax: 707-432-2533 |