Christopher Robert Fossaceca, MD | |
2151 W Grant Line Rd, Tracy, CA 95377-7309 | |
(209) 832-0535 | |
Not Available |
Full Name | Christopher Robert Fossaceca |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 18 Years |
Location | 2151 W Grant Line Rd, Tracy, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295817880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207L00000X | Anesthesiology | ML20008774 (Washington) | Secondary |
207L00000X | Anesthesiology | A113247 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sutter Tracy Community Hospital | Tracy, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sutter Valley Medical Foundation | 9830094515 | 1919 |
Entity Name | Sutter Bay Hospitals |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740413798 PECOS PAC ID: 3476506528 Enrollment ID: O20050517000547 |
Entity Name | Sutter Valley Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
Mailing Address | Practice Location Address |
---|---|
Christopher Robert Fossaceca, MD 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 521-6097 | Christopher Robert Fossaceca, MD 2151 W Grant Line Rd, Tracy, CA 95377-7309 Ph: (209) 832-0535 |
David Alan Edelsohn, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2160 W Grant Line Rd, Suite 120, Tracy, CA 95377 Phone: 209-836-5680 | |
Anita Xue, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2151 W Grant Line Rd, Tracy, CA 95377 Phone: 209-832-0535 | |
Ian Craig Brown, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 2160 W Grant Line Rd Ste 120, Tracy, CA 95377 Phone: 209-836-5680 Fax: 209-836-5778 | |
James Robert Halderman, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2151 W Grant Line Rd, Tracy, CA 95377 Phone: 209-832-0535 | |
Athanasios Magimbi, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1530 Bessie Ave, Ste 105, Tracy, CA 95376 Phone: 209-832-2095 Fax: 209-832-7828 | |
Samuel Youngsam Oh, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2151 W Grant Line Rd, Tracy, CA 95377 Phone: 209-832-0535 |