Mark T Selecky, MD | |
955 Lane Ave, Suite 200, Chula Vista, CA 91914-3501 | |
(619) 421-3400 | |
(619) 421-3557 |
Full Name | Mark T Selecky |
---|---|
Gender | Male |
Speciality | Sports Medicine |
Experience | 32 Years |
Location | 955 Lane Ave, Chula Vista, 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 |
---|---|---|---|
1669414850 | NPI | - | NPPES |
00G781360 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0005X | Orthopaedic Surgery - Sports Medicine | G78136 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Synergy Orthopedic Specialists Inc | 0941450498 | 50 |
Entity Name | Emergency And Acute Care Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
Entity Name | Synergy Orthopedic Specialists Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114282779 PECOS PAC ID: 0941450498 Enrollment ID: O20121018000776 |
Mailing Address | Practice Location Address |
---|---|
Mark T Selecky, MD 955 Lane Ave, Suite 200, Chula Vista, CA 91914-3501 Ph: (619) 421-3400 | Mark T Selecky, MD 955 Lane Ave, Suite 200, Chula Vista, CA 91914-3501 Ph: (619) 421-3400 |
Dr. Eric Paul Hofmeister, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 955 Lane Ave, Suite 200, Chula Vista, CA 91914 Phone: 619-421-3400 Fax: 619-421-3557 | |
Dr. William Collin Eves, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 480 4th Ave, Ste 307, Chula Vista, CA 91910 Phone: 619-426-3240 Fax: 619-426-5964 | |
Dr. Louis Lurie, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 480 4th Ave, Ste 307, Chula Vista, CA 91910 Phone: 619-426-3240 Fax: 619-426-5964 | |
Julian Hakim Baloyan, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 333 H St Ste 5000503, Chula Vista, CA 91910 Phone: 858-688-4756 | |
Dr. Anthony G Sanzone, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 955 Lane Ave, Suite 200, Chula Vista, CA 91914 Phone: 619-421-4200 |