| Osler Medical Group Inc | |
|
1330 Nelson Ave Suite C Modesto CA 95350-5341 | |
| (209) 846-9444 | |
| (209) 844-0309 |
| Full Name | Osler Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1330 Nelson Ave, Modesto, California |
| Authorized Official Name and Position | Elliott Metcalfe (OWNER) |
| Authorized Official Contact | 2098469444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osler Medical Group Inc 1330 Nelson Ave Suite C Modesto CA 95350-5341 Ph: (209) 846-9444 | Osler Medical Group Inc 1330 Nelson Ave Suite C Modesto CA 95350-5341 Ph: (209) 846-9444 |
| NPI Number | 1952468035 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 06/11/2014 |
| Medicare PECOS PAC ID | 2466549407 |
|---|---|
| Medicare Enrollment ID | O20071107000474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952468035 | NPI | - | NPPES |
| GR0089790 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A65690 (California) | Primary |
| Provider Name | Elliott J Metcalfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295703692 PECOS PAC ID: 0244144921 Enrollment ID: I20080124000220 |
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