G Jude Shadday, DO | |
8170 Laguna Blvd, Elk Grove, CA 95758-7901 | |
(916) 691-5952 | |
Not Available |
Full Name | G Jude Shadday |
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Gender | Male |
Speciality | Family Medicine |
Location | 8170 Laguna Blvd, Elk Grove, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528097342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A5847 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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G Jude Shadday, DO 10470 Old Placerville Rd, Suite 100, Sacramento, CA 95827-2539 Ph: (800) 470-0071 | G Jude Shadday, DO 8170 Laguna Blvd, Elk Grove, CA 95758-7901 Ph: (916) 691-5952 |
Thomas A Bzoskie, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8170 Laguna Blvd Ste 113, Elk Grove, CA 95758 Phone: 916-478-6561 Fax: 916-478-6573 | |
Dr. Jeanne Marie Taylor, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 9201 Big Horn Blvd, Elk Grove, CA 95758 Phone: 916-478-5100 | |
Katie C Askew, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8170 Laguna Blvd, Suite 114, Elk Grove, CA 95758 Phone: 916-691-5900 Fax: 916-691-6736 | |
Scott C Cannon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8170 Laguna Blvd, Suite 114, Elk Grove, CA 95758 Phone: 916-691-5900 | |
Jose V. Sumaquial, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9201 Big Horn Blvd, Elk Grove, CA 95758 Phone: 916-478-5000 | |
Kristin G Leach, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9201 Big Horn Blvd, Elk Grove, CA 95758 Phone: 916-478-5000 | |
Seema Prakash Shah, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8170 Laguna Blvd Ste 101, Elk Grove, CA 95758 Phone: 916-478-6565 |