Marcus George Connelly, MD | |
600 Coffee Rd, Modesto, CA 95355-4201 | |
(209) 521-6097 | |
Not Available |
Full Name | Marcus George Connelly |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 45 Years |
Location | 600 Coffee Rd, Modesto, 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 |
---|---|---|---|
1295703577 | NPI | - | NPPES |
00C502510 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | C50251 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sutter Valley Medical Foundation | 9830094515 | 1919 |
Entity Name | Sutter Valley Medical Foundation |
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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 |
---|---|
Marcus George Connelly, MD 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 521-6097 | Marcus George Connelly, MD 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 521-6097 |
Mr. Blake Daniel Alexander, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1101 Standiford Ave, Suite A-3, Modesto, CA 95350 Phone: 209-578-5072 Fax: 209-578-5292 | |
Dr. Shirley Lynne Van, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1429 College Ave, Suite B, Modesto, CA 95350 Phone: 209-526-2242 | |
Thomas G Salopek, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211 | |
Dr. Daniel Jerome Trozak, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1444 Florida Ave, Ste 201, Modesto, CA 95350 Phone: 209-526-4384 | |
Dr. Purita Z Villanueva, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350 Phone: 209-572-3224 Fax: 209-572-4528 | |
Gary Wagner, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211 | |
Kinston Cummings, Dermatology Medicare: Medicare Enrolled Practice Location: 3105 Mchenry Ave Ste 101, Modesto, CA 95350 Phone: 209-575-2700 |