| Ronald Wyatt, MD | |
|
200 Muir Rd, Martinez, CA 94553-4614 | |
| (925) 372-1000 | |
| Not Available |
| Full Name | Ronald Wyatt |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 200 Muir Rd, Martinez, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194897926 | NPI | - | NPPES |
| 00G722840 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | G72284 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald Wyatt, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Ronald Wyatt, MD 200 Muir Rd, Martinez, CA 94553-4614 Ph: (925) 372-1000 |
Dr. Burt J Auerbach, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 Alhambra Ave, Martinez, CA 94553 Phone: 925-370-5000 | |
Dr. Edward Yi-teh Tang, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2500 Alhambra Ave, Contra Costa Regional Medical Center, Martinez, CA 94553 Phone: 925-370-5200 | |
Dr. Jaison James, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1815 Arnold Dr, Martinez, CA 94553 Phone: 510-962-8969 Fax: 510-962-8923 | |
Constantine T Nicholas, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2500 Alhambra Ave, Martinez, CA 94553 Phone: 925-370-5200 |