| Michael Thomas Bollinger, MD | |
|
555 Petaluma Ave, Ste B, Sebastopol, CA 95472-4225 | |
| (707) 823-7602 | |
| (707) 823-7625 |
| Full Name | Michael Thomas Bollinger |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 30 Years |
| Location | 555 Petaluma Ave, Sebastopol, 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 |
|---|---|---|---|
| 1417941642 | NPI | - | NPPES |
| 00A654040 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | A65404 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Healdsburg District Hospital | Healdsburg, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Norcal Healthconnect Llc | 2466864038 | 3 |
| Entity Name | North Sonoma County Health Care District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194824573 PECOS PAC ID: 4789594367 Enrollment ID: O20060406000251 |
| Entity Name | Norcal Healthconnect Llc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1861009672 PECOS PAC ID: 2466864038 Enrollment ID: O20201225000001 |
| Entity Name | Norcal Healthconnect Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720695547 PECOS PAC ID: 2466864038 Enrollment ID: O20210308001127 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Thomas Bollinger, MD 555 Petaluma Ave, Ste B, Sebastopol, CA 95472-4225 Ph: (707) 823-7602 | Michael Thomas Bollinger, MD 555 Petaluma Ave, Ste B, Sebastopol, CA 95472-4225 Ph: (707) 823-7602 |
Ms. Christine M Ramsay, P.A.-C Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 555 Petaluma Ave, Suite B, Sebastopol, CA 95472 Phone: 707-823-7602 Fax: 707-823-7625 | |
Dr. Bruce Robert Bragonier, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 555 Petaluma Ave, Suite B, Sebastopol, CA 95472 Phone: 707-823-7602 Fax: 707-823-7625 | |
Craig Alan Campbell, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 555 Petaluma Ave, Ste B, Sebastopol, CA 95472 Phone: 707-823-7602 Fax: 707-823-7625 |