| Dr Gabriel Kodzo Tanson, MD, | |
|
4873 West Ln, Stockton, CA 95210-4548 | |
| (209) 472-1515 | |
| (209) 472-1651 |
| Full Name | Dr Gabriel Kodzo Tanson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 51 Years |
| Location | 4873 West Ln, Stockton, 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 |
|---|---|---|---|
| 1023053105 | NPI | - | NPPES |
| 00A325500 | Medicaid | CA | |
| 00A325501 | Other | CA | PPIN |
| ZZZ30198Z | Other | CA | GROUP ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A32550 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Westlane Medical Clinic Inc | 4789651613 | 3 |
| Entity Name | Westlane Medical Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689729352 PECOS PAC ID: 4789651613 Enrollment ID: O20040910001229 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gabriel Kodzo Tanson, MD, 4873 West Ln, Suite A, Stockton, CA 95210-4548 Ph: (209) 472-1515 | Dr Gabriel Kodzo Tanson, MD, 4873 West Ln, Stockton, CA 95210-4548 Ph: (209) 472-1515 |
Angela Nicolini, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10200 Trinity Parkway, Suite 102, Stockton, CA 95219 Phone: 209-948-0808 Fax: 209-957-1807 | |
Richelle Gomez Marasigan, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 E March Ln Ste A170, Stockton, CA 95210 Phone: 209-477-5552 | |
Sandeep Singh Mann, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2216 N California St Ste A, Stockton, CA 95204 Phone: 209-851-2065 Fax: 209-292-8910 | |
Dr. William Clyde Beck, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3108 W Hammer Ln, Suite B, Stockton, CA 95209 Phone: 209-957-6001 Fax: 209-957-6076 | |
Dr. Nkechiyere Nicole Eboka, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2545 W Hammer Ln, Stockton, CA 95209 Phone: 209-954-4040 | |
Annapoorna Muthyapu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3132 W March Ln Ste 5, Stockton, CA 95219 Phone: 209-475-5500 Fax: 209-475-5503 |