John Samuel Martin, MD | |
1524 Mchenry Ave, Suite 100, Modesto, CA 95350-4500 | |
(209) 577-4444 | |
(209) 527-2069 |
Full Name | John Samuel Martin |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 1524 Mchenry Ave, Modesto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669416186 | NPI | - | NPPES |
00G331750 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | G33175 (California) | Primary |
Entity Name | Modesto Radiological Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992747547 PECOS PAC ID: 2062300239 Enrollment ID: O20040513000453 |
Mailing Address | Practice Location Address |
---|---|
John Samuel Martin, MD 101 Park Ave, Modesto, CA 95354-0556 Ph: (209) 571-6622 | John Samuel Martin, MD 1524 Mchenry Ave, Suite 100, Modesto, CA 95350-4500 Ph: (209) 577-4444 |
Dr. Scott Alan Alexander, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-943-2041 Fax: 209-473-9365 | |
Robert Ralph Anderson, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1524 Mchenry Ave, Suite 100, Modesto, CA 95350 Phone: 209-577-4444 Fax: 209-527-2069 | |
Rafael Vargas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-550-4755 Fax: 209-521-3970 | |
Kevin Tae Il Whang, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1524 Mchenry Ave, Modesto, CA 95350 Phone: 209-577-4444 Fax: 209-527-2069 | |
Paul Jonathan Ramirez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1524 Mchenry Ave, Suite 430, Modesto, CA 95350 Phone: 209-577-4444 Fax: 209-846-7309 | |
Michael R. Klieger, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1524 Mchenry Ave, Suite 100, Modesto, CA 95350 Phone: 209-571-6622 Fax: 209-527-2069 | |
David Y Li, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211 |