Sierra Housecalls Medical Group | |
183 Fairview Ln Suite C Sonora CA 95370-4856 | |
(209) 532-4287 | |
Not Available |
Full Name | Sierra Housecalls Medical Group |
---|---|
Speciality | Family Medicine |
Location | 183 Fairview Ln, Sonora, California |
Authorized Official Name and Position | Matthew L Personius (OWNER/PRESIDENT) |
Authorized Official Contact | 2095324287 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sierra Housecalls Medical Group 183 Fairview Ln Suite C Sonora CA 95370-4856 Ph: (209) 532-4287 | Sierra Housecalls Medical Group 183 Fairview Ln Suite C Sonora CA 95370-4856 Ph: (209) 532-4287 |
NPI Number | 1801827555 |
---|---|
Provider Enumeration Date | 07/05/2006 |
Last Update Date | 04/11/2008 |
Medicare PECOS PAC ID | 0446246839 |
---|---|
Medicare Enrollment ID | O20040421001585 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801827555 | NPI | - | NPPES |
DA1747 | Other | CA | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
364SG0600X | Clinical Nurse Specialist - Gerontology | (* (Not Available)) | Secondary |
Provider Name | Matthew L Personius |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528022712 PECOS PAC ID: 9931195328 Enrollment ID: I20080425000402 |
Provider Name | Georgia V Thomatos |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932329273 PECOS PAC ID: 1951724228 Enrollment ID: I20200717002382 |
Sonora Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13951 Mono Way, Suite A, Sonora, CA 95370 Phone: 209-532-3370 Fax: 209-532-3340 | |
Kathy Bosch Chiropractic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19515 Village Dr, Ste B, Sonora, CA 95370 Phone: 209-533-4330 Fax: 509-532-5374 | |
William E. Zachow, D.o. Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19747 Greenley Rd, Suite S-2, Sonora, CA 95370 Phone: 602-790-4221 | |