| Theodore Miclau Iii, MD | |
|
2550 23rd St Bldg 9, 2nd Floor, San Francisco, CA 94110-3504 | |
| (415) 206-8812 | |
| (415) 647-3733 |
| Full Name | Theodore Miclau Iii |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 2550 23rd St Bldg 9, San Francisco, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134173537 | NPI | - | NPPES |
| 00G818430 | Medicaid | CA | |
| 110150231 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | G81843 (California) | Primary |
| Entity Name | University Of California San Francisco |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
| Entity Name | University Of California Sfgh Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760457816 PECOS PAC ID: 5496668410 Enrollment ID: O20031229000429 |
| Entity Name | Ucsf Medical Group Business Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore Miclau Iii, MD 2550 23rd St Bldg 9, 2nd Floor, San Francisco, CA 94110-3504 Ph: (415) 206-8812 | Theodore Miclau Iii, MD 2550 23rd St Bldg 9, 2nd Floor, San Francisco, CA 94110-3504 Ph: (415) 206-8812 |
Dr. Justin David Krogue, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Parnassus Ave # Mu-320w, San Francisco, CA 94143 Phone: 415-476-1166 | |
Gopal Ram Lalchandani, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Owens St Ste 200, San Francisco, CA 94158 Phone: 415-353-9400 Fax: 415-353-9643 | |
Jay Shah, DO, MBA Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 Parnassus Ave Fl 3, San Francisco, CA 94143 Phone: 886-817-7463 Fax: 415-353-4047 | |
Dr. Mark Chu Xu, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2540 23rd St Bldg 7, San Francisco, CA 94143 Phone: 415-476-2124 | |
Dr. David S. Bradford, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 400 Parnassus Ave, San Francisco, CA 94143 Phone: 415-353-2739 Fax: 415-353-2248 | |
Abbey Lynn Kennedy, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Parnassus Ave, Mu 320w, San Francisco, CA 94143 Phone: 415-476-6043 | |
James Damian Kelly Ii, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3838 California St Rm 715, San Francisco, CA 94118 Phone: 415-668-8010 Fax: 415-592-2560 |