Jennifer Thuy Ho Phung, MD | |
2545 W Hammer Ln, Stockton, CA 95209-2839 | |
(209) 957-7050 | |
Not Available |
Full Name | Jennifer Thuy Ho Phung |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 19 Years |
Location | 2545 W Hammer Ln, Stockton, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114180999 | NPI | - | NPPES |
68-0277719 | Other | CA | GROUP TAX ID |
00A1075670 | Medicaid | CA | |
1386636165 | Other | CA | GROUP NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | A107567 (California) | Primary |
174400000X | Specialist | A107567 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph's Medical Center Of Stockton | Stockton, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sutter Valley Medical Foundation | 9830094515 | 1919 |
Entity Name | Sutter Valley Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
Entity Name | Dhp Of California Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679836084 PECOS PAC ID: 9234388745 Enrollment ID: O20120927000044 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Thuy Ho Phung, MD 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 521-6097 | Jennifer Thuy Ho Phung, MD 2545 W Hammer Ln, Stockton, CA 95209-2839 Ph: (209) 957-7050 |
Dr. Melba Agatep Berbano, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1801 E March Ln Ste C320, Stockton, CA 95210 Phone: 209-957-5888 Fax: 209-477-9339 | |
Dr. Charnpal S Mangat, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1617 N. California St., Ste. 2a, Stockton, CA 95204 Phone: 209-466-8546 Fax: 209-466-3335 | |
Dr. James Paul Ching Maganito, DO, MPH, MHA Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1617 N California St Ste 2a, Stockton, CA 95204 Phone: 209-334-1800 Fax: 209-334-2416 | |
La Toya Asha Luces, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10940 Trinity Pkwy, Ste C #329, Stockton, CA 95219 Phone: 209-561-7936 Fax: 209-439-5413 | |
Kristen Leigh Patters, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-746-5562 | |
Karen Y Poirier-brode, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Obgyn A Suite 230 Second Floor, Stockton, CA 95210 Phone: 209-476-2080 |