| Chang S Joo, MD | |
|
305 E Granger Ave, Ste 202, Modesto, CA 95350-4344 | |
| (209) 526-1606 | |
| (209) 526-1677 |
| Full Name | Chang S Joo |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 46 Years |
| Location | 305 E Granger Ave, Modesto, 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 |
|---|---|---|---|
| 1508868787 | NPI | - | NPPES |
| 00A481920 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | A481920 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Modesto Kidney Center, Llc | Modesto, CA | Dialysis facility |
| Archway Dialysis Of Modesto | Modesto, CA | Dialysis facility |
| Satellite Dialysis Turlock | Turlock, CA | Dialysis facility |
| Parkway Kidney Center | Modesto, CA | Dialysis facility |
| Ceres Dialysis Center | Ceres, CA | Dialysis facility |
| Doctors Medical Center | Modesto, CA | Hospital |
| Memorial Medical Center | Modesto, CA | Hospital |
| Emanuel Medical Center | Turlock, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Modesto Kidney Medical Group | 1052395795 | 3 |
| Entity Name | Modesto Kidney Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306848569 PECOS PAC ID: 1052395795 Enrollment ID: O20040617001640 |
| Mailing Address | Practice Location Address |
|---|---|
| Chang S Joo, MD 305 E Granger Ave, Ste 202, Modesto, CA 95350-4344 Ph: (209) 526-1606 | Chang S Joo, MD 305 E Granger Ave, Ste 202, Modesto, CA 95350-4344 Ph: (209) 526-1606 |
Brian E. Dolnick, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000 | |
Dr. Joshua Mckee Anderson, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-7200 | |
Sulman Razzaq, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1409 E Briggsmore Ave, Modesto, CA 95355 Phone: 209-550-4750 | |
Alvin K Eng, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1540 Florida Ave, # 100, Modesto, CA 95350 Phone: 209-577-5557 Fax: 209-577-8125 | |
Esra Olgun, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-521-6097 | |
Anjani Durga Golive, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1409 E Briggsmore Ave, Modesto, CA 95355 Phone: 209-550-4750 Fax: 209-572-3017 | |
Ronak Chandrakant Shah, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-521-6097 |