Dr Jacqueline I Decayette, MD | |
1300 Mable Ave # 1, Modesto, CA 95355-1120 | |
(209) 571-1633 | |
(209) 491-0772 |
Full Name | Dr Jacqueline I Decayette |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 39 Years |
Location | 1300 Mable Ave # 1, Modesto, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942279914 | NPI | - | NPPES |
00A433430 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A43343 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Alameda Hospital | Alameda, CA | Hospital |
Highland Hospital | Oakland, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Alameda Health System | 3779494521 | 533 |
Entity Name | Alameda Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740332931 PECOS PAC ID: 3779494521 Enrollment ID: O20031110000764 |
Mailing Address | Practice Location Address |
---|---|
Dr Jacqueline I Decayette, MD 210 N Tustin Ave, Santa Ana, CA 92705-3807 Ph: (714) 347-1010 | Dr Jacqueline I Decayette, MD 1300 Mable Ave # 1, Modesto, CA 95355-1120 Ph: (209) 571-1633 |
Vivian L Tan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211 | |
Kenneth Imanaka, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211 | |
Brian Paul Richardson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 619-933-4258 Fax: 858-777-3387 | |
David Allen Betz, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211 | |
Bindi Panjak Patel, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-521-6097 | |
Vian Younan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-521-6097 | |
Ker Yong J Koh, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-569-7408 |