Kevin Kaye Mikaelian, MD | |
2545 W Hammer Ln, Stockton, CA 95209-2839 | |
(209) 957-7050 | |
Not Available |
Full Name | Kevin Kaye Mikaelian |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 32 Years |
Location | 2545 W Hammer Ln, Stockton, 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 |
---|---|---|---|
1093712200 | NPI | - | NPPES |
0219850005 | Other | CA | CIGNA MEDICARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | G78209 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Dameron Hospital | Stockton, CA | Hospital |
St Joseph's Medical Center Of Stockton | Stockton, CA | Hospital |
Memorial Medical Center | Modesto, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sutter Valley Medical Foundation | 9830094515 | 1919 |
Entity Name | San Joaquin Faculty Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225063761 PECOS PAC ID: 4082631395 Enrollment ID: O20051026000742 |
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 |
Mailing Address | Practice Location Address |
---|---|
Kevin Kaye Mikaelian, MD 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 524-1211 | Kevin Kaye Mikaelian, MD 2545 W Hammer Ln, Stockton, CA 95209-2839 Ph: (209) 957-7050 |
Dhiren V. Nanavati, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 | |
Dr. Jeffrey J Maclean, M.D., M.S. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2488 N California St, Stockton, CA 95204 Phone: 209-948-3333 Fax: 209-948-6608 | |
Gary M Alegre, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2545 W Hammer Ln, Stockton, CA 95209 Phone: 209-948-1641 | |
Jerry Case Crooks, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2545 W Hammer Ln, Stockton, CA 95209 Phone: 209-957-7050 | |
Joanne M. Chao, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 | |
Gary T Murata, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2488 N California St, Alpine Orthopaedic Medical Group Inc, Stockton, CA 95204 Phone: 209-948-3333 Fax: 209-948-2665 |