| Tracy Lee Bigelow, DO | |
|
2545 W Hammer Ln, Stockton, CA 95209-2839 | |
| (209) 957-7050 | |
| Not Available |
| Full Name | Tracy Lee Bigelow |
|---|---|
| Gender | Female |
| Speciality | Hand Surgery |
| Experience | 25 Years |
| Location | 2545 W Hammer Ln, Stockton, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578662342 | NPI | - | NPPES |
| 34008758 | Other | OH | OHIO MEDICAL LICENSE |
| 20A 11567 | Other | CA | CALIFORNIA OSTEOPATHIC MEDICAL LICENSE |
| 2671158 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0106X | Orthopaedic Surgery - Hand Surgery | 20A 11567 (California) | Primary |
| 207X00000X | Orthopaedic Surgery | 20A11567 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dameron Hospital | Stockton, CA | Hospital |
| Sutter Tracy Community Hospital | Tracy, CA | Hospital |
| Adventist Health Lodi Memorial | Lodi, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Valley Medical Foundation | 9830094515 | 2136 |
| Entity Name | County Of San Joaquin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801830583 PECOS PAC ID: 6002703436 Enrollment ID: O20040301001287 |
| Entity Name | San Joaquin Faculty Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225063761 PECOS PAC ID: 4082631395 Enrollment ID: O20051026000742 |
| 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 |
|---|---|
| Tracy Lee Bigelow, DO 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 521-6097 | Tracy Lee Bigelow, DO 2545 W Hammer Ln, Stockton, CA 95209-2839 Ph: (209) 957-7050 |
Dhiren V. Nanavati, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 | |
Dr. Jeffrey J Maclean, M.D., M.S. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2488 N California St, Stockton, CA 95204 Phone: 209-948-3333 Fax: 209-948-6608 | |
Gary M Alegre, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2545 W Hammer Ln, Stockton, CA 95209 Phone: 209-948-1641 | |
Jerry Case Crooks, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2545 W Hammer Ln, Stockton, CA 95209 Phone: 209-957-7050 | |
Joanne M. Chao, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 | |
Kevin Kaye Mikaelian, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2545 W Hammer Ln, Stockton, CA 95209 Phone: 209-957-7050 | |
Gary T Murata, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2488 N California St, Alpine Orthopaedic Medical Group Inc, Stockton, CA 95204 Phone: 209-948-3333 Fax: 209-948-2665 |