Dr Gabriel Kodzo Tanson, MD, | |
4873 West Ln, Stockton, CA 95210-4548 | |
(209) 472-1515 | |
(209) 472-1651 |
Full Name | Dr Gabriel Kodzo Tanson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 49 Years |
Location | 4873 West Ln, Stockton, 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 |
---|---|---|---|
1023053105 | NPI | - | NPPES |
00A325500 | Medicaid | CA | |
00A325501 | Other | CA | PPIN |
ZZZ30198Z | Other | CA | GROUP ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A32550 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph's Medical Center Of Stockton | Stockton, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Westlane Medical Clinic Inc | 4789651613 | 2 |
Entity Name | Westlane Medical Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689729352 PECOS PAC ID: 4789651613 Enrollment ID: O20040910001229 |
Mailing Address | Practice Location Address |
---|---|
Dr Gabriel Kodzo Tanson, MD, 4873 West Ln, Suite A, Stockton, CA 95210-4548 Ph: (209) 472-1515 | Dr Gabriel Kodzo Tanson, MD, 4873 West Ln, Stockton, CA 95210-4548 Ph: (209) 472-1515 |
Richelle Gomez Marasigan, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 77 W March Ln Ste A, Stockton, CA 95207 Phone: 209-477-5552 | |
Sandeep Singh Mann, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2216 N California St Ste A, Stockton, CA 95204 Phone: 209-851-2065 Fax: 209-292-8910 | |
Dr. William Clyde Beck, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3108 W Hammer Ln, Suite B, Stockton, CA 95209 Phone: 209-957-6001 Fax: 209-957-6076 | |
Annapoorna Muthyapu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3132 W March Ln Ste 5, Stockton, CA 95219 Phone: 209-475-5500 Fax: 209-475-5503 | |
Amrik Singh Sidhu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1503 E March Ln, Stockton, CA 95210 Phone: 209-462-7277 Fax: 866-950-0134 | |
Jerry D. Fessler, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 |