Jay Samuel Joseph, MD | |
1165 S Dora St Bldg H, Ukiah, CA 95482-8325 | |
(707) 463-3636 | |
(707) 463-2714 |
Full Name | Jay Samuel Joseph |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 33 Years |
Location | 1165 S Dora St Bldg H, Ukiah, 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 |
---|---|---|---|
1396835153 | NPI | - | NPPES |
00G747990 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0203X | Radiology - Therapeutic Radiology | G74799 (California) | Secondary |
2085R0001X | Radiology - Radiation Oncology | G74799 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
Adventist Health Ukiah Valley | Ukiah, CA | Hospital |
Adventist Health Howard Memorial | Willits, CA | Hospital |
Sutter Lakeside Hospital | Lakeport, CA | Hospital |
Mendocino Coast District Hospital | Fort bragg, 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 |
---|---|
Jay Samuel Joseph, MD 1165 S Dora St Bldg H, Ukiah, CA 95482-8325 Ph: () - | Jay Samuel Joseph, MD 1165 S Dora St Bldg H, Ukiah, CA 95482-8325 Ph: (707) 463-3636 |
Philip Masao Tamanaha, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 275 Hospital Dr, Ukiah, CA 95482 Phone: 707-463-7626 | |
Mark A Bisignani, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1165 S Dora St, Ukiah, CA 95482 Phone: 707-463-3636 Fax: 707-463-2714 | |
Dr. Laura Anne Winkle, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 275 Hospital Dr, Ukiah, CA 95482 Phone: 707-463-7342 Fax: 707-463-7392 | |
Dr. Jade Aaron L'heureux, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 275 Hospital Dr, Ukiah, CA 95482 Phone: 707-462-3111 | |
Gary Ballard, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2740 W Lake Mendocino Dr, Ukiah, CA 95482 Phone: 707-462-9028 |