Guillermo Alberto Mantilla, MD | |
6555 Coyle Ave Ste 280, Carmichael, CA 95608-0302 | |
(916) 536-3540 | |
(916) 536-3541 |
Full Name | Guillermo Alberto Mantilla |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 27 Years |
Location | 6555 Coyle Ave Ste 280, Carmichael, 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 |
---|---|---|---|
1326234816 | NPI | - | NPPES |
1512334 | Medicaid | TN | |
7100423880 | Medicaid | KY | |
4352401 | Other | TN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 42647 (Tennessee) | Secondary |
208M00000X | Hospitalist | C159709 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy San Juan Medical Center | Carmichael, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dignity Health Medical Foundation | 7810800661 | 1199 |
Entity Name | Dignity Health Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
Mailing Address | Practice Location Address |
---|---|
Guillermo Alberto Mantilla, MD 3400 Data Dr, Rancho Cordova, CA 95670-7956 Ph: () - | Guillermo Alberto Mantilla, MD 6555 Coyle Ave Ste 280, Carmichael, CA 95608-0302 Ph: (916) 536-3540 |
Hussam Kujok, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3609 Mission Ave, Suite A, Carmichael, CA 95608 Phone: 916-971-9000 Fax: 916-971-9010 | |
Dr. Nay Nay Thiri, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 6555 Coyle Ave Ste 280, Carmichael, CA 95608 Phone: 916-536-3560 Fax: 916-536-3567 | |
Dennis L. Ostrem, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 3424 Lindi Ct, Carmichael, CA 95608 Phone: 916-944-7629 | |
Mei Qiang, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 6501 Coyle Ave, Carmichael, CA 95608 Phone: 916-537-5079 | |
Syama S. Varudu, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 6501 Coyle Ave, Hospitalist Program, Carmichael, CA 95608 Phone: 916-537-5079 Fax: 916-966-3189 | |
Dr. Kyi Kyi Htein, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 6555 Coyle Ave Ste 280, Carmichael, CA 95608 Phone: 916-536-3540 |