Dr Andrea Moreno, MD | |
4601 Dale Rd, Modesto, CA 95356-9718 | |
(209) 735-3330 | |
Not Available |
Full Name | Dr Andrea Moreno |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 4601 Dale Rd, Modesto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548680747 | NPI | - | NPPES |
A155255 | Other | CA | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | A155255 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Dr Andrea Moreno, MD 271 W Santa Clara Dr, Mountain House, CA 95391-1292 Ph: () - | Dr Andrea Moreno, MD 4601 Dale Rd, Modesto, CA 95356-9718 Ph: (209) 735-3330 |
Maureen Vieira, N.P. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 200 W Coolidge Ave, Modesto, CA 95350 Phone: 209-577-5005 Fax: 209-521-1533 | |
Dr. Christopher M. Grover, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-579-5628 Fax: 209-579-5637 | |
Susan C Ways, PHD MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 200 W Coolidge Ave, Modesto, CA 95350 Phone: 209-577-5005 Fax: 209-521-1533 | |
Dr. James Laurence Bedell, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-5000 | |
Justin T Hutchison, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-5000 | |
Dr. Tessa Lynn Reisinger, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1409 E Briggsmore Ave, Modesto, CA 95355 Phone: 209-550-4720 Fax: 209-572-2923 | |
Dr. Nickey Jafari, MD MPH Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1401 Spanos Ct, Modesto, CA 95355 Phone: 209-550-4720 |