Donovan R Hare, MD | |
4301 N Star Way, Modesto, CA 95356-9262 | |
(209) 577-1200 | |
(209) 577-1200 |
Full Name | Donovan R Hare |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 33 Years |
Location | 4301 N Star Way, Modesto, 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 |
---|---|---|---|
1336215383 | NPI | - | NPPES |
00G759590 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | G75959 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sutter Delta Medical Center | Antioch, CA | Hospital |
Stanislaus Surgical Hospital | Modesto, CA | Hospital |
Memorial Hospital Los Banos | Los banos, CA | Hospital |
Adventist Health Sonora | Sonora, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Yosemite Pathology Medical Group Inc | 3072415751 | 44 |
Entity Name | Yosemite Pathology Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598760985 PECOS PAC ID: 3072415751 Enrollment ID: O20040217000597 |
Entity Name | Precision Pathology Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295797355 PECOS PAC ID: 7719974153 Enrollment ID: O20040428000676 |
Mailing Address | Practice Location Address |
---|---|
Donovan R Hare, MD Po Box 576768, Modesto, CA 95357-6768 Ph: (209) 577-1200 | Donovan R Hare, MD 4301 N Star Way, Modesto, CA 95356-9262 Ph: (209) 577-1200 |
Christy L Perez-valles, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4301 Northstar Way, Modesto, CA 95356 Phone: 209-577-1200 Fax: 209-577-6517 | |
Dr. Scott Goodwin Silveira, M. D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4301 N Star Way, Modesto, CA 95356 Phone: 209-577-1200 Fax: 209-577-6517 | |
Christine Lori Rongey, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4301 Northstar Way, Modesto, CA 95356 Phone: 209-577-1200 Fax: 209-577-6517 | |
William Austin Knapp, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2625 Coffee Rd, Ste S, Modesto, CA 95355 Phone: 209-577-1200 Fax: 209-577-6517 | |
Sara J Kwong, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4301 Northstar Way, Modesto, CA 95356 Phone: 209-577-1200 Fax: 209-577-6517 | |
Dr. Marnelli Aguilar Bautista-quach, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4301 N Star Way, Modesto, CA 95356 Phone: 209-577-1200 Fax: 209-577-6517 | |
Curtis Roy Strong, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4301 N Star Way, Modesto, CA 95356 Phone: 209-577-1200 Fax: 209-577-6517 |