| Ralph Maximillian Koenker, MD | |
|
180 Rowland Way, Novato, CA 94945-5009 | |
| (415) 290-1500 | |
| Not Available |
| Full Name | Ralph Maximillian Koenker |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 40 Years |
| Location | 180 Rowland Way, Novato, 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 |
|---|---|---|---|
| 1891734265 | NPI | - | NPPES |
| 00G609810 | Medicaid | CA | |
| 300121787 | Other | CA | RAILROAD MEDICARE |
| 00G609810 | Other | CA | BLUE SHIELD |
| 300035771 | Other | CA | RAILROAD MEDICARE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marinhealth Medical Center | Greenbrae, CA | Hospital |
| Novato Community Hospital | Novato, CA | Hospital |
| Sonoma Valley Hospital | Sonoma, CA | Hospital |
| Ucsf Medical Center | San francisco, CA | Hospital |
| California Pacific Medical Center- Van Ness Campus | San francisco, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| California Advanced Imaging Medical Associates Inc | 0244144228 | 76 |
| Prima Medical Foundation | 6406040138 | 29 |
| Entity Name | California Advanced Imaging Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881646909 PECOS PAC ID: 0244144228 Enrollment ID: O20031113000847 |
| Entity Name | Prima Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811217946 PECOS PAC ID: 6406040138 Enrollment ID: O20101027000334 |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph Maximillian Koenker, MD Po Box 6102, Novato, CA 94948-6102 Ph: (415) 884-3418 | Ralph Maximillian Koenker, MD 180 Rowland Way, Novato, CA 94945-5009 Ph: (415) 290-1500 |
Jean-pierre Phancao, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 Redwood Blvd Ste 300, Novato, CA 94947 Phone: 415-464-8081 | |
Ari Kane, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 180 Rowland Way, Novato, CA 94945 Phone: 415-209-1500 Fax: 415-209-1501 | |
Robert L Wirth, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 180 Rowland Way, Novato, CA 94945 Phone: 415-209-1500 Fax: 415-209-1501 | |
Crystal Chang, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 180 Rowland Way, Novato, CA 94945 Phone: 415-290-1500 Fax: 415-209-1501 |