| Dr Gary M Carson, MD | |
|
1133 W Sycamore Street, Willows, CA 95988 | |
| (530) 934-1800 | |
| (530) 934-1865 |
| Full Name | Dr Gary M Carson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1133 W Sycamore Street, Willows, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609812650 | NPI | - | NPPES |
| 00A485010 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A48501 (California) | Primary |
| Entity Name | Chavez Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689045015 PECOS PAC ID: 3870897580 Enrollment ID: O20160201000702 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary M Carson, MD Po Box 8117, Red Bluff, CA 96080 Ph: (530) 529-1306 | Dr Gary M Carson, MD 1133 W Sycamore Street, Willows, CA 95988 Ph: (530) 934-1800 |
Everett Patrick Shareck Jr., Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1133 W Sycamore Street, Willows, CA 95988 Phone: 530-934-1800 Fax: 530-934-1865 | |
Dr. Marc Steven Bracy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1133 W Sycamore Street, Willows, CA 95988 Phone: 530-934-1800 Fax: 530-934-1865 |