Dr Chester Mcbride Boltwood Jr, MD | |
4603 Dale Rd, Kaiser Permanente Medical Offices, Modesto, CA 95357-7680 | |
(209) 735-4287 | |
(209) 735-4283 |
Full Name | Dr Chester Mcbride Boltwood Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 48 Years |
Location | 4603 Dale Rd, 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 |
---|---|---|---|
1669415303 | NPI | - | NPPES |
ZZZ76734Z | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | G35042 (California) | Secondary |
207RI0011X | Internal Medicine - Interventional Cardiology | G35042 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital Manteca | Manteca, CA | Hospital |
St Joseph's Medical Center Of Stockton | Stockton, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
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 |
---|---|
Dr Chester Mcbride Boltwood Jr, MD 4601 Dale Rd, Modesto, CA 95356-9718 Ph: (209) 735-4287 | Dr Chester Mcbride Boltwood Jr, MD 4603 Dale Rd, Kaiser Permanente Medical Offices, Modesto, CA 95357-7680 Ph: (209) 735-4287 |
Brian E. Dolnick, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000 | |
Dr. Joshua Mckee Anderson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-7200 | |
Sulman Razzaq, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1409 E Briggsmore Ave, Modesto, CA 95355 Phone: 209-550-4750 | |
Alvin K Eng, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1540 Florida Ave, # 100, Modesto, CA 95350 Phone: 209-577-5557 Fax: 209-577-8125 | |
Esra Olgun, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-521-6097 | |
Ronak Chandrakant Shah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-521-6097 | |
Dr. Paul Golden, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1330 Nelson Ave, Suite C, Modesto, CA 95350 Phone: 209-576-1547 Fax: 209-576-2736 |