Dr Teodoro P Nissen, MD | |
100 Hospital Dr, Suite 303, Vallejo, CA 94589-2580 | |
(707) 645-7210 | |
(707) 645-7249 |
Full Name | Dr Teodoro P Nissen |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 25 Years |
Location | 100 Hospital Dr, Vallejo, 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 |
---|---|---|---|
1699791053 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | A77901 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sutter Solano Medical Center | Vallejo, CA | Hospital |
Sonoma Valley Hospital | Sonoma, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Teodoro P Nissen Md Inc | 5193897817 | 2 |
Entity Name | Integrated Pain Management Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922198779 PECOS PAC ID: 0547252918 Enrollment ID: O20040402001211 |
Entity Name | Teodoro P Nissen Md Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629248109 PECOS PAC ID: 5193897817 Enrollment ID: O20090730000023 |
Mailing Address | Practice Location Address |
---|---|
Dr Teodoro P Nissen, MD 100 Hospital Dr, Suite 303, Vallejo, CA 94589-2580 Ph: (707) 645-7210 | Dr Teodoro P Nissen, MD 100 Hospital Dr, Suite 303, Vallejo, CA 94589-2580 Ph: (707) 645-7210 |
Robert Alan Gomez, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1460 North Camino Alto, Suite 210, Vallejo, CA 94589 Phone: 707-649-1111 Fax: 707-649-1045 | |
David F. Osborne, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Dr. Chad Edward Maclachlan, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 775-588-3636 Fax: 775-588-1299 | |
Christopher Nguyen, DPM Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Dr. Mark A Charney, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Dennis C. Chin, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Austin Thomas, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1049 |