Dr Jeffrey Wannares, | |
8554 La Mesa Blvd, La Mesa, CA 91942-9558 | |
(619) 698-4471 | |
Not Available |
Full Name | Dr Jeffrey Wannares |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 13 Years |
Location | 8554 La Mesa Blvd, La Mesa, 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 |
---|---|---|---|
1851728141 | NPI | - | NPPES |
1851728141 | Medicaid | NC | |
19RFY | Other | NC | BCBS OF NC |
NCY8940322 | Other | NC | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2017-01040 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Grossmont Hospital | La mesa, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Grossmont Surgical Associates Inc | 3476657313 | 5 |
Emergency And Acute Care Medical Corporation | 9537108279 | 394 |
Entity Name | Emergency And Acute Care Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
Entity Name | Grossmont Surgical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295827830 PECOS PAC ID: 3476657313 Enrollment ID: O20070402000523 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey Wannares, 6415 Reflection Dr Apt 206, San Diego, CA 92124-3167 Ph: (508) 898-0986 | Dr Jeffrey Wannares, 8554 La Mesa Blvd, La Mesa, CA 91942-9558 Ph: (619) 698-4471 |
Dr. Charles John Sarosy, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 8881 Fletcher Parkway/ Dr. Charles Sarosy, Suite241, La Mesa, CA 91942 Phone: 619-697-1325 Fax: 619-697-2981 | |
Dr. Simon Lavotshkin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5565 Grossmont Center Drive, Bld #1 Suite 221, La Mesa, CA 91942 Phone: 619-462-8100 Fax: 619-462-7933 | |
Dr. Hong-der Lin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5565 Grossmont Center Dr, Bldg 1 Suite 221, La Mesa, CA 91942 Phone: 619-462-8100 Fax: 619-462-7933 | |
Dr. Scott Edward Musicant, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 8860 Center Dr, 450, La Mesa, CA 91942 Phone: 619-460-6200 Fax: 619-460-6262 | |
Dr. Garo Yerevanian, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-644-6750 Fax: 619-644-1139 | |
Phillip Dickinson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8554 La Mesa Blvd, La Mesa, CA 91941 Phone: 619-464-4469 Fax: 619-639-0300 | |
Dr. Thomas Tino Terramani, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 8860 Center Dr, 450, La Mesa, CA 91942 Phone: 619-460-6200 Fax: 619-460-6262 |