| Nurit Licht, MD | |
|
75 Rowland Way Ste 200, Novato, CA 94945-5054 | |
| (415) 897-9664 | |
| (415) 897-9664 |
| Full Name | Nurit Licht |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 75 Rowland Way Ste 200, Novato, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477545176 | NPI | - | NPPES |
| ZZZ18742Z | Other | CA | ISSUER MEDICARE |
| A90977 | Other | CA | LICENSE NUMBER |
| FHC70696F | Medicaid | CA | |
| 1477545176 | Medicaid | CA | |
| HAP70696F | Medicaid | CA | |
| BCP70696F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A90977 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Petaluma Valley Hospital | Petaluma, CA | Hospital |
| Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Petaluma Health Center Inc | 9133180375 | 62 |
| 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 |
|---|---|
| Nurit Licht, MD 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 Ph: (707) 559-7500 | Nurit Licht, MD 75 Rowland Way Ste 200, Novato, CA 94945-5054 Ph: (415) 897-9664 |
Lara Barth, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 6100 Redwood Blvd, Novato, CA 94945 Phone: 415-448-1500 | |
Amanda Jo Reiner, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 75 Rowland Way Ste 200, Novato, CA 94945 Phone: 415-897-9664 | |
Patricia Glatt, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Rowland Way Ste 200, Novato, CA 94945 Phone: 415-878-7200 Fax: 415-369-1387 | |
Dr. Steven Nelson Pyke, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 165 Rowland Way, #105, Novato, CA 94945 Phone: 415-898-7270 Fax: 415-892-1785 | |
Cathleen E Schmitt, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1615 Hill Rd, #14, Novato, CA 94947 Phone: 415-897-2776 Fax: 415-897-0097 | |
Dr. Jolaine Beal, MD, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Rowland Way, Novato, CA 94945 Phone: 866-681-0738 Fax: 916-854-6769 |