Peter Allen Novota, MD | |
3110 Kerner Blvd, San Rafael, CA 94901-5411 | |
(415) 448-1500 | |
(415) 526-8570 |
Full Name | Peter Allen Novota |
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Gender | Male |
Speciality | Family Medicine |
Location | 3110 Kerner Blvd, San Rafael, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124132394 | NPI | - | NPPES |
036091570 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G156549 (California) | Primary |
207Q00000X | Family Medicine | 036091570 (Illinois) | Secondary |
Entity Name | Access Community Health Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982783692 PECOS PAC ID: 9537076112 Enrollment ID: O20031204000985 |
Mailing Address | Practice Location Address |
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Peter Allen Novota, MD 2357 Sequoia Dr, Aurora, IL 60506-6222 Ph: (630) 859-6800 | Peter Allen Novota, MD 3110 Kerner Blvd, San Rafael, CA 94901-5411 Ph: (415) 448-1500 |
Dr. Ann Hathaway, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 25 Mitchell Blvd, #3, San Rafael, CA 94903 Phone: 415-499-0966 Fax: 415-446-0118 | |
Daniel Aaron Smith, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-4873 | |
Michael A Frumkin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 30 Newport Way, San Rafael, CA 94901 Phone: 315-415-6865 | |
Mrs. Meenal Sunit Lohtia, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 4000 Civic Center Drive, Suite 200, San Rafael, CA 94903 Phone: 415-492-3333 Fax: 415-492-3425 | |
Dr. Charles C. Palmigiano, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 920 Northgate Dr, Suite 6, San Rafael, CA 94903 Phone: 415-479-1022 Fax: 415-479-5305 | |
Jay F. Fairborn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 |