| Megan Connick, MD | |
|
470 Chadbourne Rd Ste A, Fairfield, CA 94534-9620 | |
| (707) 419-8988 | |
| (707) 254-1779 |
| Full Name | Megan Connick |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Infectious Diseases |
| Location | 470 Chadbourne Rd Ste A, 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 |
|---|---|---|---|
| 1104841576 | NPI | - | NPPES |
| 205020316 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0208X | Pediatrics - Pediatric Infectious Diseases | G141047 (California) | Primary |
| Entity Name | Petaluma Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588656268 PECOS PAC ID: 9133180375 Enrollment ID: O20050315000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Megan Connick, MD 1100 Trancas St Ste 300, Napa, CA 94558-2921 Ph: (707) 254-1774 | Megan Connick, MD 470 Chadbourne Rd Ste A, Fairfield, CA 94534-9620 Ph: (707) 419-8988 |
Imelda Maria C. Tandinco, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2101 Courage Dr, Fairfield, CA 94533 Phone: 707-784-2012 | |
Maika Manalastas, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1860 Pennsylvania Ave Ste 145, Fairfield, CA 94533 Phone: 707-646-4051 | |
Christi Klimisch Lombre, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1550 Gateway Blvd, Fairfield, CA 94533 Phone: 707-427-4048 Fax: 707-427-4385 | |
Dr. Alok K. Bose, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5030 Business Center Dr, Suite 230, Fairfield, CA 94534 Phone: 707-863-8190 Fax: 707-863-8193 | |
Daniel A. Schleske, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1550 Gateway Blvd, Fairfield, CA 94533 Phone: 707-427-4000 | |
Dr. Brian Leonardo Montenegro, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1860 Pennsylvania Ave Ste 145, Fairfield, CA 94533 Phone: 707-423-5323 |