| Abelardo Verceles Mayo, MD | |
|
1300 W Lodi Ave, Suite P, Lodi, CA 95242-3000 | |
| (209) 369-7493 | |
| Not Available |
| Full Name | Abelardo Verceles Mayo |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1300 W Lodi Ave, Lodi, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487610531 | NPI | - | NPPES |
| 00A549010 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A54901 (California) | Primary |
| 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 |
|---|---|
| Abelardo Verceles Mayo, MD 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 524-1211 | Abelardo Verceles Mayo, MD 1300 W Lodi Ave, Suite P, Lodi, CA 95242-3000 Ph: (209) 369-7493 |
Nedaa N Issa, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1901 W Kettleman Ln Ste 200, Lodi, CA 95242 Phone: 209-334-8540 Fax: 209-368-2885 | |
Dr. Marietta Abellera Sumaquial, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 W Turner Rd, Suite 450, Lodi, CA 95242 Phone: 209-370-1700 | |
Arvinder Kaur Thiara, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1300 W Lodi Ave, Suite P, Lodi, CA 95242 Phone: 209-366-1990 Fax: 209-473-9256 | |
Lancy Lu, Pediatrics Medicare: Medicare Enrolled Practice Location: 975 S Fairmont Ave, Lodi, CA 95240 Phone: 209-339-7639 | |
Dr. Haeli Park, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 975 S Fairmont Ave, Lodi, CA 95240 Phone: 209-339-7639 | |
Dr. Roy Anunciacion, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1920 Tienda Dr, Ste 102, Lodi, CA 95242 Phone: 209-368-8310 | |
Dr. Rosemary Nunez-davis, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1901 W Kettleman Ln Ste 200, Lodi, CA 95242 Phone: 209-334-8540 |