Todd Primack, DO | |
2626 N California St, Suite G, Stockton, CA 95204-5500 | |
(209) 464-9846 | |
(209) 464-4082 |
Full Name | Todd Primack |
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Gender | Male |
Speciality | Anesthesiology |
Location | 2626 N California St, Stockton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306878392 | NPI | - | NPPES |
00AX50070 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 20A5007 (California) | Primary |
207LP2900X | Anesthesiology - Pain Medicine | 20A5007 (California) | Secondary |
Entity Name | Cep America - Anesthesia Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790401438 PECOS PAC ID: 3678897915 Enrollment ID: O20150115001110 |
Mailing Address | Practice Location Address |
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Todd Primack, DO 2626 N California St, Suite G, Stockton, CA 95204-5500 Ph: (209) 464-9846 | Todd Primack, DO 2626 N California St, Suite G, Stockton, CA 95204-5500 Ph: (209) 464-9846 |
Juan Fernando Sarti, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2545 West Hammer Lane, Stockton, CA 95209 Phone: 209-957-7050 | |
Phillip N Ruhl, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 525 W Acacia St, Stockton, CA 95203 Phone: 209-944-5550 | |
Dr. Zhiqiang Wang, M.D., PH.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 123 S Commerce St Ste E, Stockton, CA 95202 Phone: 650-492-0118 | |
Chase Rogers, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-574-5941 | |
Gary A Schenck Jr., MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1801 E March Ln Ste 360, Stockton, CA 95210 Phone: 209-951-1178 | |
Robert Stump, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2626 N California St, Suite G, Stockton, CA 95204 Phone: 209-464-9846 Fax: 209-464-4082 | |
Xudong Luan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 |