Dr Juan Carlos Cucalon, MD | |
1441 Florida Ave, Modesto, CA 95350-4404 | |
(209) 214-1211 | |
Not Available |
Full Name | Dr Juan Carlos Cucalon |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 30 Years |
Location | 1441 Florida Ave, Modesto, 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 |
---|---|---|---|
1649251083 | NPI | - | NPPES |
71471 | Other | FL | B/C & B/S OF FL |
266805000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | ME86152 (Florida) | Secondary |
207L00000X | Anesthesiology | C170661 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Anesthesia Incorporated | 4880936145 | 52 |
Entity Name | First Choice Physician Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104183052 PECOS PAC ID: 0941465322 Enrollment ID: O20120710000480 |
Entity Name | Advanced Anesthesia Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720543762 PECOS PAC ID: 4880936145 Enrollment ID: O20190507001500 |
Entity Name | Valley Regional Anesthesia Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578272415 PECOS PAC ID: 3870964323 Enrollment ID: O20230120001928 |
Mailing Address | Practice Location Address |
---|---|
Dr Juan Carlos Cucalon, MD 1441 Florida Ave, Modesto, CA 95350-4404 Ph: (209) 214-1211 | Dr Juan Carlos Cucalon, MD 1441 Florida Ave, Modesto, CA 95350-4404 Ph: (209) 214-1211 |
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 |