| Christopher Robert Fossaceca, MD | |
|
2151 W Grant Line Rd, Tracy, CA 95377-7309 | |
| (209) 832-0535 | |
| Not Available |
| Full Name | Christopher Robert Fossaceca |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 19 Years |
| Location | 2151 W Grant Line Rd, Tracy, 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 |
|---|---|---|---|
| 1295817880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | ML20008774 (Washington) | Secondary |
| 207L00000X | Anesthesiology | A113247 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Tracy Community Hospital | Tracy, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Valley Medical Foundation | 9830094515 | 2136 |
| Entity Name | Sutter Bay Hospitals |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740413798 PECOS PAC ID: 3476506528 Enrollment ID: O20050517000547 |
| 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 |
|---|---|
| Christopher Robert Fossaceca, MD 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 521-6097 | Christopher Robert Fossaceca, MD 2151 W Grant Line Rd, Tracy, CA 95377-7309 Ph: (209) 832-0535 |
David Alan Edelsohn, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2160 W Grant Line Rd, Suite 120, Tracy, CA 95377 Phone: 209-836-5680 | |
Anita Xue, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2151 W Grant Line Rd, Tracy, CA 95377 Phone: 209-832-0535 | |
Ian Craig Brown, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 2160 W Grant Line Rd Ste 120, Tracy, CA 95377 Phone: 209-836-5680 Fax: 209-836-5778 | |
James Robert Halderman, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2151 W Grant Line Rd, Tracy, CA 95377 Phone: 209-832-0535 | |
Athanasios Magimbi, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1530 Bessie Ave, Ste 105, Tracy, CA 95376 Phone: 209-832-2095 Fax: 209-832-7828 | |
Samuel Youngsam Oh, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2151 W Grant Line Rd, Tracy, CA 95377 Phone: 209-832-0535 |