| Robert L Wirth, MD | |
|
180 Rowland Way, Novato, CA 94945-5009 | |
| (415) 209-1500 | |
| (415) 209-1501 |
| Full Name | Robert L Wirth |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 41 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 |
|---|---|---|---|
| 1396786547 | NPI | - | NPPES |
| 00G553130 | Medicaid | CA | |
| 300121795 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | G55313 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marinhealth Medical Center | Greenbrae, CA | Hospital |
| Sonoma Valley Hospital | Sonoma, CA | Hospital |
| Novato Community Hospital | Novato, CA | Hospital |
| Ucsf Medical Center | San francisco, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 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 | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Entity Name | State Of California - Department Of Developmental Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154372498 PECOS PAC ID: 4082788732 Enrollment ID: O20081114000496 |
| 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 |
|---|---|
| Robert L Wirth, MD Po Box 6102, Novato, CA 94948-6102 Ph: (415) 884-3418 | Robert L Wirth, MD 180 Rowland Way, Novato, CA 94945-5009 Ph: (415) 209-1500 |
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 | |
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 | |
Ralph Maximillian Koenker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 180 Rowland Way, Novato, CA 94945 Phone: 415-290-1500 |