Dr Todd C Self, DPM | |
940 Sylva Ln Ste E, Sonora, CA 95370-5969 | |
(209) 533-3996 | |
(209) 533-3998 |
Full Name | Dr Todd C Self |
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Gender | Male |
Speciality | Podiatry |
Experience | 35 Years |
Location | 940 Sylva Ln Ste E, Sonora, 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 |
---|---|---|---|
1871569889 | NPI | - | NPPES |
000E36900 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | E3690 (California) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | E3690 (California) | Primary |
Provider Name | Todd C Self Dpm Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972781953 PECOS PAC ID: 8123147212 Enrollment ID: O20121221000058 |
Mailing Address | Practice Location Address |
---|---|
Dr Todd C Self, DPM 940 Sylva Ln Ste E, Sonora, CA 95370-5969 Ph: (209) 533-3996 | Dr Todd C Self, DPM 940 Sylva Ln Ste E, Sonora, CA 95370-5969 Ph: (209) 533-3996 |
Dr. Steve Christian Jensen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 780 Delnero Dr, Sonora, CA 95370 Phone: 209-533-2468 Fax: 209-533-1722 | |
Geoffrey David Kraemer, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 680 Guzzi Ln Ste 101, Sonora, CA 95370 Phone: 209-536-5755 | |
Todd C Self, Dpm, Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 940 Sylva Lane Ste. E,, Sonora, CA 95370 Phone: 209-533-3996 Fax: 209-533-3998 |