| David W Mantik, MD | |
|
963 Butte St, Redding, CA 96001-0828 | |
| (530) 245-5900 | |
| (530) 245-5909 |
| Full Name | David W Mantik |
|---|---|
| Gender | Male |
| Speciality | Radiology - Radiation Oncology |
| Location | 963 Butte St, Redding, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669421012 | NPI | - | NPPES |
| 00G344161 | Medicaid | CA | |
| P00763965 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 25351 (West Virginia) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | G34416 (California) | Primary |
| Entity Name | Pecos Valley Of New Mexico Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972569820 PECOS PAC ID: 2466359781 Enrollment ID: O20031216000086 |
| Mailing Address | Practice Location Address |
|---|---|
| David W Mantik, MD 2160 Colonial Blvd, Fort Myers, FL 33907-1410 Ph: (239) 931-7342 | David W Mantik, MD 963 Butte St, Redding, CA 96001-0828 Ph: (530) 245-5900 |
Stephen L Hofkin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2020 Court St, Redding, CA 96001 Phone: 530-243-1236 Fax: 530-243-8502 | |
Adam A Attoun, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2020 Court St, Redding, CA 96001 Phone: 530-243-1236 Fax: 530-243-8502 | |
Gregory A. Shaw, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2020 Court St, Redding, CA 96001 Phone: 530-243-1236 Fax: 530-245-5949 | |
Dr. John Charles Clark, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1325 Bambury Ct, Redding, CA 96001 Phone: 530-246-4971 Fax: 530-241-6847 | |
Jon Hohmeister, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2020 Court St, Redding, CA 96001 Phone: 530-243-1236 Fax: 530-243-8502 | |
Don H Chin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2020 Court St, Redding, CA 96001 Phone: 530-243-1236 Fax: 530-243-8502 | |
Ewa Bauer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2020 Court St, Redding, CA 96001 Phone: 530-243-1236 Fax: 530-243-8502 |