| Paul Richard Mascovich, MD | |
|
322 Jacquelyn Ln, Petaluma, CA 94952-5300 | |
| (970) 778-5810 | |
| Not Available |
| Full Name | Paul Richard Mascovich |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 322 Jacquelyn Ln, Petaluma, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215921184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G33950 (California) | Primary |
| Entity Name | County Of Sonoma |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952637027 PECOS PAC ID: 4688658651 Enrollment ID: O20040616001152 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Richard Mascovich, MD 322 Jacquelyn Ln, Petaluma, CA 94952-5300 Ph: (970) 778-5810 | Paul Richard Mascovich, MD 322 Jacquelyn Ln, Petaluma, CA 94952-5300 Ph: (970) 778-5810 |
Dr. David Arthur Browne, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 111 Liberty Street, Petaluma, CA 94952 Phone: 415-892-1041 Fax: 415-408-3400 | |
Mario Mangiardi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1900 S Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-699-6100 | |
Kenneth R. Wulff, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1503 Spring Hill Rd, Petaluma, CA 94952 Phone: 707-559-3895 | |
Edna S. Rivera, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3900 | |
Sophie Aneson-macleon, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1360 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-565-4708 | |
Dr. Jeremy Lr Goodwin, MS, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1456 Professional Dr Ste 402, Petaluma, CA 94954 Phone: 707-938-7951 Fax: 707-938-7260 |