| Nelson Branco, MD | |
|
5 Bon Air Road, Ste. 105, Larkspur, CA 94939 | |
| (415) 461-0440 | |
| (415) 461-3792 |
| Full Name | Nelson Branco |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 5 Bon Air Road, Larkspur, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841270451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A60826 (California) | Primary |
| Entity Name | Tuba City Regional Health Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107 |
| Mailing Address | Practice Location Address |
|---|---|
| Nelson Branco, MD 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 Ph: (415) 461-0440 | Nelson Branco, MD 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 Ph: (415) 461-0440 |
Rim Elchaki, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1100 Larkspur Landing Cir, Suite 10, Larkspur, CA 94939 Phone: 415-464-1350 | |
Dr. Stephen Albert Santucci Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 Phone: 415-461-0440 Fax: 415-461-3792 | |
Jeanette R White, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 Phone: 415-461-0440 Fax: 415-461-3792 | |
John Marshall Harvey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 Phone: 415-461-0440 Fax: 415-461-3792 | |
Jan Ellen Maisel, MD PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 Phone: 415-461-0440 Fax: 415-461-3792 | |
Kristin Moschetti, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5 Bon Air Rd Ste 105, Larkspur, CA 94939 Phone: 415-461-0440 | |
Julie Bokser, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 Phone: 415-461-0440 Fax: 415-461-3792 |