Mr Dean Matthew Kelaita, MD | |
702 Mountain Ranch Rd., San Andreas, CA 95249 | |
(209) 754-0870 | |
(209) 754-0878 |
Full Name | Mr Dean Matthew Kelaita |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 31 Years |
Location | 702 Mountain Ranch Rd., San Andreas, 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 |
---|---|---|---|
1750310496 | NPI | - | NPPES |
00G800690 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G80069 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Iron Point Home Health Care Inc | Folsom, CA | Home health agency |
United Home Care Of Northern California | Jackson, CA | Home health agency |
Home Health Of California Inc | Stockton, CA | Home health agency |
Mark Twain Medical Center | San andreas, CA | Hospital |
Sutter Amador Hospital | Jackson, CA | Hospital |
Adventist Health Sonora | Sonora, CA | Hospital |
Sutter Medical Center, Sacramento | Sacramento, CA | Hospital |
Avalon Health Care - San Andreas | San andreas, CA | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mark Twain Medical Center | 8820073711 | 20 |
Entity Name | Silver Oak Medical Office Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730125121 PECOS PAC ID: 1153306022 Enrollment ID: O20040623001192 |
Entity Name | Sonora Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821089749 PECOS PAC ID: 4284538505 Enrollment ID: O20050411001282 |
Entity Name | Mark Twain Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508968819 PECOS PAC ID: 8820073711 Enrollment ID: O20061006000227 |
Entity Name | Dean M Kelaita M D Medical |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548930803 PECOS PAC ID: 5395133391 Enrollment ID: O20211025001239 |
Mailing Address | Practice Location Address |
---|---|
Mr Dean Matthew Kelaita, MD P.o. Box 636, San Andreas, CA 95249 Ph: (209) 754-0870 | Mr Dean Matthew Kelaita, MD 702 Mountain Ranch Rd., San Andreas, CA 95249 Ph: (209) 754-0870 |
Matthew Joshua King-lung Kor, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 702 Mountain Ranch Rd, San Andreas, CA 95249 Phone: 092-754-4564 Fax: 209-942-3462 | |
Dr. Michael Dennis Kifune, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1333 Highway 49, San Andreas, CA 95249 Phone: 209-755-1400 Fax: 209-755-1430 | |
Dr. Shane Michael Patterson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 702 Mountain Ranch Rd, San Andreas, CA 95249 Phone: 209-754-0870 Fax: 209-754-0878 | |
Mrs. Sarah Margaret Grimes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 702 Mountain Ranch Rd, San Andreas, CA 95249 Phone: 209-754-0870 Fax: 209-754-0878 |