Thomas Peter Mckenzie, MD | |
924 S Fairmont Ave, Lodi, CA 95240-5119 | |
(209) 334-2590 | |
Not Available |
Full Name | Thomas Peter Mckenzie |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 39 Years |
Location | 924 S Fairmont Ave, Lodi, 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 |
---|---|---|---|
1083709638 | NPI | - | NPPES |
GR0029390 | Medicaid | CA | |
200008575 | Other | CA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | G68077 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Medical Center | Modesto, CA | Hospital |
Adventist Health Lodi Memorial | Lodi, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sutter Valley Medical Foundation | 9830094515 | 1919 |
Entity Name | Sutter Valley Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
Mailing Address | Practice Location Address |
---|---|
Thomas Peter Mckenzie, MD 10470 Old Placerville Rd Ste 100, Sacramento, CA 95827-2539 Ph: (800) 470-0071 | Thomas Peter Mckenzie, MD 924 S Fairmont Ave, Lodi, CA 95240-5119 Ph: (209) 334-2590 |
Kevin Richard Hilton, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1235 W Vine St, Suite 22, Lodi, CA 95240 Phone: 209-334-8520 Fax: 209-334-2109 | |
Dr. Gary Royce Wisner, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 621 S Ham Ln Ste A, Lodi, CA 95242 Phone: 209-368-7777 Fax: 209-368-7778 | |
Mr. Roland Yoshito Nakata, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 815 S Fairmont Ave, Lodi, CA 95240 Phone: 209-333-1884 Fax: 209-333-1885 | |
Dr. Darryl Kitayama, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2080 Sylvan Way, #1101, Lodi, CA 95242 Phone: 209-481-1699 |