Mark Escudero, | |
1600 Eureka Rd, Dept Of Radiology, Roseville, CA 95661-3027 | |
(858) 337-6226 | |
Not Available |
Full Name | Mark Escudero |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 15 Years |
Location | 1600 Eureka Rd, Roseville, 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 |
---|---|---|---|
1235373549 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085P0229X | Radiology - Pediatric Radiology | A129633 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Mark Escudero, 938 Old Ranch House Rd, Rocklin, CA 95765-6285 Ph: (858) 337-6226 | Mark Escudero, 1600 Eureka Rd, Dept Of Radiology, Roseville, CA 95661-3027 Ph: (858) 337-6226 |
Regan Asher, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1640 E Roseville Pkwy, Ste 100, Roseville, CA 95661 Phone: 916-784-2277 Fax: 916-932-1104 | |
Dr. Robert Earl Burky Iii, MD Radiology Medicare: Medicare Enrolled Practice Location: 1380 Lead Hill Blvd Ste 100, Roseville, CA 95661 Phone: 916-535-2030 Fax: 916-536-3061 | |
Richard Childrey Gross, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1640 E Roseville Pkwy, Roseville, CA 95661 Phone: 916-784-2277 Fax: 916-932-1104 | |
Allan Chen, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 504 Gibson Dr, Roseville, CA 95678 Phone: 916-771-2871 Fax: 916-771-2841 | |
Dr. Charlotte Dai Kubicky, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Plaza Dr Ste 180, Roseville, CA 95661 Phone: 916-781-1225 | |
John P Farkas, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1640 E Roseville Pkwy, Ste 100, Roseville, CA 95661 Phone: 916-784-2277 Fax: 916-932-1104 |