Dr David Myatt Melniczek, MD | |
777 S State Highway 49 Ste 1&2, Jackson, CA 95642-2685 | |
(209) 256-8200 | |
(209) 256-8204 |
Full Name | Dr David Myatt Melniczek |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 26 Years |
Location | 777 S State Highway 49 Ste 1&2, Jackson, 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 |
---|---|---|---|
1275575664 | NPI | - | NPPES |
A92447 | Other | CA | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A92447 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mark Twain Medical Center | San andreas, CA | Hospital |
Sutter Amador Hospital | Jackson, CA | Hospital |
Entity Name | Mark Twain Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508968819 PECOS PAC ID: 8820073711 Enrollment ID: O20061006000227 |
Entity Name | David M Melniczek Md Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053818815 PECOS PAC ID: 5193078772 Enrollment ID: O20181029001820 |
Mailing Address | Practice Location Address |
---|---|
Dr David Myatt Melniczek, MD 777 S State Highway 49 Ste 1&2, Jackson, CA 95642-2685 Ph: (209) 256-8200 | Dr David Myatt Melniczek, MD 777 S State Highway 49 Ste 1&2, Jackson, CA 95642-2685 Ph: (209) 256-8200 |
Dr. Adam Clementi Delgado, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 Mission Blvd Ste 2800, Jackson, CA 95642 Phone: 209-257-7615 Fax: 209-257-5856 | |
Dr. John Holbert Ellyson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 340 Lowe St, Jackson, CA 95642 Phone: 209-223-2474 | |
Dr. Mohammed Nasiruddin Siddiqui, MD FACS Surgery Medicare: Not Enrolled in Medicare Practice Location: 609 New York Ranch Rd, Jackson, CA 95642 Phone: 209-257-0301 Fax: 209-257-0302 |