Suparna Dutta, MD | |
275 W Macarthur Blvd, Oakland, CA 94611-5641 | |
(510) 752-1000 | |
Not Available |
Full Name | Suparna Dutta |
---|---|
Gender | Female |
Speciality | Physical Medicine And Rehabilitation |
Experience | 28 Years |
Location | 275 W Macarthur Blvd, Oakland, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275611048 | NPI | - | NPPES |
00A759510 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | A75951 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 7800 |
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 |
---|---|
Suparna Dutta, MD 275 W Macarthur Blvd, Oakland, CA 94611-5641 Ph: (510) 752-1000 | Suparna Dutta, MD 275 W Macarthur Blvd, Oakland, CA 94611-5641 Ph: (510) 752-1000 |
Dr. Allison Gannon Pollock, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 350 Hawthorne Ave, Oakland, CA 94609 Phone: 510-847-7771 | |
Andrea Lee Wilcox, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000 | |
Margaret Cosgrove, DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 3600 Broadway, Oakland, CA 94611 Phone: 510-752-1000 | |
Alexandria Woodbury, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3645 Grand Ave Ste 203, Oakland, CA 94610 Phone: 510-883-3534 | |
Yumi Mitsuya, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3000 | |
Margaret Lucy Stokely, OTR/L Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 44 Danbury St, Oakland, CA 94605 Phone: 423-243-4743 | |
Chiachen Hsu, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000 |