Dr Thach D Mai, DO | |
5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | |
(619) 460-5111 | |
(619) 460-7815 |
Full Name | Dr Thach D Mai |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 28 Years |
Location | 5555 Grossmont Center Dr, 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 |
---|---|---|---|
1366508541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 207A7093 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Hospital | Eureka, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Medical Foundation | 8921993205 | 1312 |
Entity Name | Providence Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Dr Thach D Mai, DO Po Box 3617, La Mesa, CA 91944-3617 Ph: (619) 460-5111 | Dr Thach D Mai, DO 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 Ph: (619) 460-5111 |
John Claus, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-460-5111 Fax: 619-460-7815 | |
Aida Tesfaye-kedjela, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8141 Vista Dr, La Mesa, CA 91941 Phone: 267-235-8252 | |
Dr. Michael Henry Verdolin, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7051 Alvarado Rd, Suite 101, La Mesa, CA 91942 Phone: 619-625-1144 Fax: 619-872-0964 | |
Ronald M Levin, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8881 Fletcher Pkwy Ste 100, La Mesa, CA 91942 Phone: 619-698-0930 | |
Dr. John J. Peckham, M.D, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-460-5111 Fax: 619-460-7815 | |
Forrest B. Allen, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 9790 Marky Way, La Mesa, CA 91941 Phone: 619-985-1002 |