Timothy A Davis, MD | |
1409 E Briggsmore Ave, Modesto, CA 95355-2707 | |
(209) 550-4788 | |
Not Available |
Full Name | Timothy A Davis |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 38 Years |
Location | 1409 E Briggsmore Ave, Modesto, 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 |
---|---|---|---|
1114976594 | NPI | - | NPPES |
00G707930 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | G70793 (California) | Primary |
2086S0129X | Surgery - Vascular Surgery | G70793 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Medical Center | Modesto, 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 |
---|---|
Timothy A Davis, MD 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 524-1211 | Timothy A Davis, MD 1409 E Briggsmore Ave, Modesto, CA 95355-2707 Ph: (209) 550-4788 |
Wei Loong Glenn Koh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Suite 4a5, Modesto, CA 95356 Phone: 925-200-1811 | |
Shirley Rose Ramiscal Domingo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Coffee Rd, Modesto, CA 95355 Phone: 209-526-4500 | |
Calvin M Lee, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2336 Sylvan Ave, Ste C, Modesto, CA 95355 Phone: 209-551-1888 Fax: 209-551-5662 | |
Dr. Patrick James Coates, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1552 Coffee Rd Ste 200, Modesto, CA 95355 Phone: 209-248-7168 Fax: 209-846-9641 | |
Matthew James Coates, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1552 Coffee Rd Ste 200, Modesto, CA 95355 Phone: 209-248-7168 Fax: 209-846-9641 | |
Dr. Tony Yuk Man Tam, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Coffee Rd, Modesto, CA 95355 Phone: 209-579-5628 Fax: 209-579-5637 |