Michael Ray Myracle, MD | |
9300 Valley Childrens Pl, Madera, CA 93638-8761 | |
(559) 485-8330 | |
(559) 485-6694 |
Full Name | Michael Ray Myracle |
---|---|
Gender | Male |
Speciality | Radiology - Pediatric Radiology |
Location | 9300 Valley Childrens Pl, Madera, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487608543 | NPI | - | NPPES |
00G389250 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085P0229X | Radiology - Pediatric Radiology | G38925 (California) | Primary |
Entity Name | Wishon Radiological Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528012168 PECOS PAC ID: 8022065036 Enrollment ID: O20050401000439 |
Entity Name | Vallejo Open Mri Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164478277 PECOS PAC ID: 9133132046 Enrollment ID: O20060719000128 |
Entity Name | Norcal Imaging |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003965997 PECOS PAC ID: 7911099346 Enrollment ID: O20070815000403 |
Mailing Address | Practice Location Address |
---|---|
Michael Ray Myracle, MD Po Box 4437, Fresno, CA 93744-4437 Ph: (559) 485-8330 | Michael Ray Myracle, MD 9300 Valley Childrens Pl, Madera, CA 93638-8761 Ph: (559) 485-8330 |
Richard Furman Borst, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1250 E Almond Ave, Madera, CA 93637 Phone: 661-204-5411 Fax: 661-325-1725 | |
Arthur B Fontaine, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 1250 E Almond Ave, Madera, CA 93637 Phone: 661-204-5411 Fax: 661-325-1725 | |
Mark Andrew Wagner, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 36680 Cloverleaf Ave, Madera, CA 93636 Phone: 209-489-9347 Fax: 209-720-0107 | |
Dr. Trevor Zollinger Davis, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 9300 Valley Childrens Pl, Madera, CA 93636 Phone: 559-353-5456 | |
Edward N Nagel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9300 Valley Childrens Pl, Madera, CA 93636 Phone: 559-485-8330 Fax: 559-485-6994 |