| Dr Brent Leong Lum, MD | |
|
4601 Dale Rd, Modesto, CA 95356-9718 | |
| (209) 476-3484 | |
| (209) 476-3012 |
| Full Name | Dr Brent Leong Lum |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 18 Years |
| Location | 4601 Dale Rd, 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 |
|---|---|---|---|
| 1891954772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | BP1-0032047 (Texas) | Secondary |
| 207W00000X | Ophthalmology | A116550 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brent Leong Lum, MD 3650 Somerset Ave, Castro Valley, CA 94546-3439 Ph: (510) 886-2503 | Dr Brent Leong Lum, MD 4601 Dale Rd, Modesto, CA 95356-9718 Ph: (209) 476-3484 |
Dr. Charles Ira Mcbride Jr., MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1421 Oakdale Rd, #2, Modesto, CA 95355 Phone: 209-579-8800 Fax: 209-579-1407 | |
Rangram Chandran, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 304 Banner Ct, Suite 1, Modesto, CA 95356 Phone: 209-572-2020 Fax: 209-572-4000 | |
Brian S Fechter, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1011 Sylvan Ave, C, Modesto, CA 95350 Phone: 209-550-4780 | |
Brian Alexander Lenser, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3109 Coffee Rd, Ste C, Modesto, CA 95355 Phone: 209-572-8528 Fax: 209-572-8530 | |
Hany A. Michail, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000 | |
Anthony James Guida, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1011 Sylvan Ave, Modesto, CA 95350 Phone: 209-575-2020 Fax: 209-758-5693 | |
Dr. James Allen Gammon, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 500 Coffee Road, Suite F, Modesto, CA 95355 Phone: 209-522-7362 Fax: 209-522-7314 |