Dr Dennis Lee Gardner, MD | |
1700 Coffee Rd, Modesto, CA 95355-2803 | |
(209) 526-4500 | |
Not Available |
Full Name | Dr Dennis Lee Gardner |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1700 Coffee 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 |
---|---|---|---|
1477698579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207P00000X | Emergency Medicine | A049707 (California) | Primary |
Entity Name | Cep America - California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
Mailing Address | Practice Location Address |
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Dr Dennis Lee Gardner, MD 20600 N Tretheway Rd, Acampo, CA 95220-9751 Ph: () - | Dr Dennis Lee Gardner, MD 1700 Coffee Rd, Modesto, CA 95355-2803 Ph: (209) 526-4500 |
John Joseph Gallo, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3800 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000 | |
Pallavi Sharma, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-521-6097 | |
Phillip Michael Chan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1441 Florida Ave, Emergency Department, Modesto, CA 95350 Phone: 650-388-6383 | |
Dr. Paul Anthony Raykov, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-5000 | |
Gregory P. Bowerman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Coffee Rd, Modesto, CA 95355 Phone: 209-569-7600 | |
Christopher Samuel Lau, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-6810 | |
Sushma V Shah, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4301 N Star Way, Modesto, CA 95356 Phone: 209-342-2300 Fax: 209-524-4240 |