| Shelleen E Denno Md Inc. | |
|
652 Petaluma Ave Suite D Sebastopol CA 95472-4256 | |
| (775) 747-5050 | |
| (775) 747-5005 |
| Full Name | Shelleen E Denno Md Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 652 Petaluma Ave, Sebastopol, California |
| Authorized Official Name and Position | Shelleen E Denno (PRESIDENT) |
| Authorized Official Contact | 7757475050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelleen E Denno Md Inc. Po Box 34120 Reno NV 89533-4120 Ph: (775) 747-5050 | Shelleen E Denno Md Inc. 652 Petaluma Ave Suite D Sebastopol CA 95472-4256 Ph: (775) 747-5050 |
| NPI Number | 1114382751 |
|---|---|
| Provider Enumeration Date | 12/28/2015 |
| Last Update Date | 12/28/2015 |
| Medicare PECOS PAC ID | 7315241015 |
|---|---|
| Medicare Enrollment ID | O20160201000413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114382751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A50098 (California) | Primary |
| Provider Name | Shelleen E Denno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871567164 PECOS PAC ID: 5597932137 Enrollment ID: I20120123000049 |
Peter V. Madill, M.d. A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1020 Gravenstein Hwy. So., Suite 120, Sebastopol, CA 95472 Phone: 707-823-3312 Fax: 707-823-4901 | |
Prima Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 652 Petaluma Ave, Suite H, Sebastopol, CA 95472 Phone: 707-823-7616 Fax: 707-823-2803 | |
Bohemian Concierge Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 555 Petaluma Ave Ste B, Sebastopol, CA 95472 Phone: 707-239-9257 | |
Compassionate Concierge Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 555 Petaluma Ave Ste B1, Sebastopol, CA 95472 Phone: 707-694-2390 | |
Sutter Medical Group Of The Redwoods Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 652 Petaluma Ave, Suite F, Sebastopol, CA 95472 Phone: 707-823-2334 Fax: 707-823-3007 | |
Sebastopol Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6800 Palm Ave, Suite C2, Sebastopol, CA 95472 Phone: 707-824-9999 Fax: 707-824-9335 |