Samuel B Tacke, MD | |
123 W North Bear Creek Dr, Merced, CA 95348-3420 | |
(209) 722-8161 | |
(209) 383-9211 |
Full Name | Samuel B Tacke |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 123 W North Bear Creek Dr, Merced, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235236993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | G60593 (California) | Primary |
Entity Name | Merced Orthopaedic Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326046012 PECOS PAC ID: 6800994369 Enrollment ID: O20070606000436 |
Mailing Address | Practice Location Address |
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Samuel B Tacke, MD 123 W North Bear Creek Dr, Merced, CA 95348-3420 Ph: (209) 722-8161 | Samuel B Tacke, MD 123 W North Bear Creek Dr, Merced, CA 95348-3420 Ph: (209) 722-8161 |
Dr. Abner Michael Ward, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3365 G St Ste 60, Merced, CA 95340 Phone: 209-723-2799 Fax: 209-723-2984 | |
Dr. Ricardo O Pyfrom, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 315 Mercy Ave Ste 400, Merced, CA 95340 Phone: 209-564-3700 Fax: 209-564-3799 | |
Dr. Raymond J. Delorenzi, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 315 Mercy Ave Ste 400, Merced, CA 95340 Phone: 209-564-3700 Fax: 209-564-3799 | |
Dr. Lynn Walter Cooman Jr., M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 301 E 13th St, Merced, CA 95341 Phone: 209-385-7928 Fax: 209-385-7063 | |
Dr. Gabriel Garcia-diaz, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3180 Collins Dr Ste A, Merced, CA 95348 Phone: 209-349-8429 Fax: 209-720-0193 | |
Dr. Albert D. Chan, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 240 E 13th St, Merced, CA 95341 Phone: 209-723-2799 Fax: 209-723-2984 |