Medical Doctors Group, Inc - Medicare Primary Care in San Leandro, CA

Medical Doctors Group, Inc is a medicare enrolled primary clinic (Internal Medicine) in San Leandro, California. The current practice location for Medical Doctors Group, Inc is 433 Estudillo Ave Ste 206, San Leandro, California. For appointments, you can reach them via phone at (510) 969-4166. The mailing address for Medical Doctors Group, Inc is 2014 Santa Clara Ave, Alameda, California and phone number is (510) 847-1581.

Medical Doctors Group, Inc is licensed to practice in California (license number A30477). The clinic also participates in the medicare program and its NPI number is 1407237159. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (510) 969-4166.

Contact Information

Medical Doctors Group, Inc
433 Estudillo Ave Ste 206
San Leandro
CA 94577-4915
(510) 969-4166
(510) 969-5530

Primary Care Clinic Profile

Full NameMedical Doctors Group, Inc
SpecialityInternal Medicine
Location433 Estudillo Ave Ste 206, San Leandro, California
Authorized Official Name and PositionErnest Lincoln Bonner (CEO)
Authorized Official Contact5108471581
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Medical Doctors Group, Inc
2014 Santa Clara Ave
Alameda
CA 94501-2721

Ph: (510) 847-1581
Medical Doctors Group, Inc
433 Estudillo Ave Ste 206
San Leandro
CA 94577-4915

Ph: (510) 969-4166

NPI Details:

NPI Number1407237159
Provider Enumeration Date06/17/2015
Last Update Date03/17/2018

Medicare PECOS Information:

Medicare PECOS PAC ID0446550214
Medicare Enrollment IDO20151130001937

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Medical Identifiers

Medical identifiers for Medical Doctors Group, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407237159NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A30477 (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. Medical Doctors Group, Inc acts as a billing entity for following providers:
Provider NameErnest Lincoln Bonner
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992785703
PECOS PAC ID: 3971500034
Enrollment ID: I20061102000221

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