Joseph M Tito, MD | |
1312 Prentice Dr, Healdsburg, CA 95448-3381 | |
(707) 433-3383 | |
Not Available |
Full Name | Joseph M Tito |
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Gender | Male |
Speciality | Surgery |
Location | 1312 Prentice Dr, Healdsburg, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073570131 | NPI | - | NPPES |
0172928 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 213255 (Massachusetts) | Primary |
Entity Name | North Sonoma County Health Care District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194824573 PECOS PAC ID: 4789594367 Enrollment ID: O20060406000251 |
Entity Name | Norcal Healthconnect Llc |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1861009672 PECOS PAC ID: 2466864038 Enrollment ID: O20201225000001 |
Entity Name | Norcal Healthconnect Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720695547 PECOS PAC ID: 2466864038 Enrollment ID: O20210308001127 |
Mailing Address | Practice Location Address |
---|---|
Joseph M Tito, MD 1375 University St, Healdsburg, CA 95448-3382 Ph: (707) 433-3383 | Joseph M Tito, MD 1312 Prentice Dr, Healdsburg, CA 95448-3381 Ph: (707) 433-3383 |
Dr. Henry Cuevas Flores, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 451 March Ave, Ste B, Healdsburg, CA 95448 Phone: 707-433-8844 Fax: 707-433-8836 | |
Dr. Dilip Suryavanshi, MD Surgery Medicare: Medicare Enrolled Practice Location: 1540 Healdsburg Ave, Healdsburg, CA 95448 Phone: 707-473-4404 | |
Pringl L Miller, MD Surgery Medicare: Medicare Enrolled Practice Location: 1381 University St, Healdsburg, CA 95448 Phone: 801-548-3013 | |
Allen D. Galster, MD Surgery Medicare: Medicare Enrolled Practice Location: 1540 Healdsburg Ave, Healdsburg, CA 95448 Phone: 707-473-4404 Fax: 707-473-4405 | |
Dr. Alan Pollard Fritz, MD Surgery Medicare: Medicare Enrolled Practice Location: 818 Powell Ave, Healdsburg, CA 95448 Phone: 707-395-0774 |