Dr Michael Alfred Mellenthin Jr, MD | |
Fresno & R Street, Fresno, CA 93721 | |
(559) 459-6000 | |
Not Available |
Full Name | Dr Michael Alfred Mellenthin Jr |
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Gender | Male |
Speciality | Anesthesiology |
Location | Fresno & R Street, Fresno, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1225172745 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | G58951 (California) | Primary |
Entity Name | Stanford Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
Entity Name | Cep America - Anesthesia Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790401438 PECOS PAC ID: 3678897915 Enrollment ID: O20150115001110 |
Mailing Address | Practice Location Address |
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Dr Michael Alfred Mellenthin Jr, MD Po Box 45123, San Francisco, CA 94145-7733 Ph: (209) 956-7725 | Dr Michael Alfred Mellenthin Jr, MD Fresno & R Street, Fresno, CA 93721 Ph: (559) 459-6000 |
William B Etiz, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1303 E Herndon Ave, Fresno, CA 93720 Phone: 559-450-3000 | |
Yang J Kim, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1303 E Herndon Ave, Fresno, CA 93720 Phone: 559-450-3000 | |
John S Sturman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1303 E Herndon Ave, Fresno, CA 93720 Phone: 559-450-3000 | |
Gregory Alan Smith, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5680 N Fresno St Ste 105, Fresno, CA 93710 Phone: 559-374-5130 Fax: 888-977-4918 | |
Rasheed Amireh, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1630 E Herndon Ave, Fresno, CA 93720 Phone: 559-447-1432 Fax: 559-432-2874 | |
Andre S Motie, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1303 E Herndon Ave, Fresno, CA 93720 Phone: 559-450-3000 | |
Dr. Timothy Hansen, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 6235 N Fresno St, Suite # 103, Fresno, CA 93710 Phone: 559-449-4350 Fax: 559-449-4358 |