Mrs Doris Therese Crisostomo Untalan, CNM - Medicare Advanced Practice Midwife in San Leandro, CA

Mrs Doris Therese Crisostomo Untalan, CNM is a medicare enrolled "Advanced Practice Midwife" in San Leandro, California. Her current practice location is 2500 Merced Street, San Leandro, California. You can reach out to her office (for appointments etc.) via phone at (510) 454-1000.

Mrs Doris Therese Crisostomo Untalan is licensed to practice in California (license number NMW 1079) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457427940.

Contact Information

Mrs Doris Therese Crisostomo Untalan, CNM
2500 Merced Street,
San Leandro, CA 94577-4201
(510) 454-1000
Not Available



Provider's Profile

Full NameMrs Doris Therese Crisostomo Untalan
GenderFemale
SpecialityAdvanced Practice Midwife
Location2500 Merced Street, San Leandro, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457427940
  • Provider Enumeration Date: 11/27/2006
  • Last Update Date: 02/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7810111614
  • Enrollment ID: I20140618000894

Medical Identifiers

Medical identifiers for Mrs Doris Therese Crisostomo Untalan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457427940NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife NMW 1079 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Doris Therese Crisostomo Untalan allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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› Verified 5 days ago

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Doris Therese Crisostomo Untalan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Doris Therese Crisostomo Untalan, CNM
2500 Merced Street,
San Leandro, CA 94577-4201

Ph: (510) 454-1000
Mrs Doris Therese Crisostomo Untalan, CNM
2500 Merced Street,
San Leandro, CA 94577-4201

Ph: (510) 454-1000

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Bristol-Myers Squibb Company and AstraZeneca today announced results from a Phase 3 clinical study that showed the investigational compound dapagliflozin 10 mg demonstrated significant reductions in blood sugar levels (glycosylated hemoglobin levels, or HbA1c) compared with placebo at 24 weeks when either agent was added to existing sitagliptin therapy (with or without metformin) in adult patients with type 2 diabetes.

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22nd Century Group, Inc., a company focused on smoking cessation and tobacco harm reduction products, announced today that enrollment of its X-22 Phase II-B clinical trial has been successfully completed; 234 smokers have been randomized in the double-blind, active-controlled, multi-center smoking cessation study.

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Advanced Practice Midwife Nurses in San Leandro, CA

Mrs. Mary Ann Quarto Bloyer, C.N.M.
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 2500 Merced Street, San Leandro, CA 94577
Phone: 510-454-1000    
Ms. Jessica Rae Martinez, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 925-548-4751    
Ms. Rebecca Mitchell,
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 2275 Arlington Dr, San Leandro, CA 94578
Phone: 510-317-1444    
Madeleine Belizaire, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-454-1000    
Ms. Sarah Futernick, C.N.M, D.N.P
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 2500 Merced St, Ob/gyn Department - 3rd Floor, San Leandro, CA 94577
Phone: 415-572-6915    
Ms. Sylvia Ann Berman, C.N.M.
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-454-1000    

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