| Marc S Fleisher, MD | |
|
975 Sereno Dr, Vallejo, CA 94589-2441 | |
| (707) 651-1000 | |
| Not Available |
| Full Name | Marc S Fleisher |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 975 Sereno Dr, Vallejo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962581090 | NPI | - | NPPES |
| 00A795840 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | A79584 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Marc S Fleisher, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Marc S Fleisher, MD 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-1000 |
Paul A. Martin, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Adnan Joseph Hadeed, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 607 Georgia Street, Vallejo, CA 94590 Phone: 707-554-8244 Fax: 707-554-1213 | |
Suraj Kedarisetty, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Edward D. Tsong, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Laurence Ariyasu, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 |