Dr Daniel Gross, PSYD | |
101 Bodin Cir, Travis Afb, CA 94535-1809 | |
(707) 423-5174 | |
Not Available |
Full Name | Dr Daniel Gross |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 101 Bodin Cir, Travis Afb, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841508694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 2049 (Kansas) | Secondary |
103TC0700X | Psychologist - Clinical | 0810008171 (Virginia) | Primary |
Entity Name | Grow Healthcare Group Of Kansas Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831848316 PECOS PAC ID: 1355710229 Enrollment ID: O20221215002068 |
Mailing Address | Practice Location Address |
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Dr Daniel Gross, PSYD 101 Bodin Circle, Travis Afb, CA 94535-1800 Ph: (707) 423-5174 | Dr Daniel Gross, PSYD 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-5174 |
Dr. Paul Douglas Hauck, PHD. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 60mdg/sgohh, 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5174 | |
Dr. William Anthony Satterfield, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, 60 Mdg/sgohh, Travis Afb, CA 94535 Phone: 707-423-5174 | |
Dr. Kevin Kukoleck, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5174 | |
Dr. Robert Wayne Seals, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5174 | |
Dr. Tiffany Tajiri-white, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3750 | |
Harifah Hendrickson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5174 | |
Dr. Heath Jacob Sommer, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 60 Mdos/sogw, Travis Afb, CA 94535 Phone: 707-423-5174 |