| Thomas A Bertolli, MD | |
|
50 Branscomb Road, Laytonville, CA 95454 | |
| (707) 984-6131 | |
| (707) 984-7337 |
| Full Name | Thomas A Bertolli |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 45 Years |
| Location | 50 Branscomb Road, Laytonville, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811089717 | NPI | - | NPPES |
| FHC03906F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A38824 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mendocino Coast District Hospital | Fort bragg, CA | Hospital |
| Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
| Adventist Health Ukiah Valley | Ukiah, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Redwood Coast Medical Services, Inc. | 6901941905 | 6 |
| Entity Name | Long Valley Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366467375 PECOS PAC ID: 8628965852 Enrollment ID: O20040302001373 |
| Entity Name | Mendocino Community Health Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497961106 PECOS PAC ID: 6305755455 Enrollment ID: O20040826001483 |
| Entity Name | Redwood Coast Medical Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962530725 PECOS PAC ID: 6901941905 Enrollment ID: O20100302000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas A Bertolli, MD Po Box 870, Laytonville, CA 95454-0870 Ph: (707) 984-6131 | Thomas A Bertolli, MD 50 Branscomb Road, Laytonville, CA 95454 Ph: (707) 984-6131 |
Sharon Paltin, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 50 Branscomb Rd, Laytonville, CA 95454 Phone: 707-984-6137 Fax: 707-984-7337 |