Douglas M Phan, MD | |
1541 Florida Ave Ste 304, Modesto, CA 95350-4439 | |
(209) 577-3388 | |
(209) 521-3262 |
Full Name | Douglas M Phan |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 42 Years |
Location | 1541 Florida Ave Ste 304, Modesto, California |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013073766 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | G51181 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Surgical Associates | 2567438849 | 6 |
Entity Name | Advanced Surgical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013027150 PECOS PAC ID: 2567438849 Enrollment ID: O20040908000760 |
Entity Name | Verity Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326312067 PECOS PAC ID: 7416119110 Enrollment ID: O20120425000408 |
Entity Name | First Choice Physician Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104183052 PECOS PAC ID: 0941465322 Enrollment ID: O20120710000480 |
Mailing Address | Practice Location Address |
---|---|
Douglas M Phan, MD 927 Broadway St, Suite 322, Quincy, IL 62301-2719 Ph: (217) 223-8400 | Douglas M Phan, MD 1541 Florida Ave Ste 304, Modesto, CA 95350-4439 Ph: (209) 577-3388 |
Anwuli Alexandra Anyah, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-550-4770 | |
Kenneth W Mak, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1541 Florida Ave, 301, Modesto, CA 95350 Phone: 209-577-3388 Fax: 209-523-0764 | |
Mark J. Bitgood, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000 | |
Charles R Suntra, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211 | |
Christopher S. Whang, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000 | |
Charles Alan Yates, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1510 Florida Ave, Modesto, CA 95350 Phone: 209-549-7090 Fax: 209-549-7099 |