| Dr Gregory J Macchio, MD | |
|
27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | |
| (949) 364-1400 | |
| Not Available |
| Full Name | Dr Gregory J Macchio |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 27700 Medical Center Rd, Mission Viejo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386621100 | NPI | - | NPPES |
| 200112130 | Medicaid | IN | |
| G88576 | Other | CA | CA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 01044919A (Indiana) | Primary |
| Entity Name | Western Anesthesia Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497796320 PECOS PAC ID: 7012902216 Enrollment ID: O20040416001498 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gregory J Macchio, MD 27401 Los Altos, Suite 180, Mission Viejo, CA 92691-6316 Ph: (949) 582-9624 | Dr Gregory J Macchio, MD 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 Ph: (949) 364-1400 |
Tod Henrichsen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 27401 Los Altos, Suite 180, Mission Viejo, CA 92691 Phone: 949-582-9624 Fax: 949-582-9626 | |
Dr. Timothy James Ebbert, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 949-364-1400 | |
James Wickham, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 27401 Los Altos, Suite 180, Mission Viejo, CA 92691 Phone: 949-582-9624 Fax: 949-582-9626 | |
Eric Hsu, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 27401 Los Altos, Suite 180, Mission Viejo, CA 92691 Phone: 949-582-9624 Fax: 949-582-9626 | |
Jason Kwon, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 27401 Los Altos, Suite 180, Mission Viejo, CA 92691 Phone: 949-582-9624 Fax: 949-582-9626 | |
Shawn Bullock, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 27401 Los Altos, Suite 180, Mission Viejo, CA 92691 Phone: 949-582-9624 Fax: 949-582-9626 | |
Steve Wong, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 27401 Los Altos, Suite 180, Mission Viejo, CA 92691 Phone: 949-582-9624 Fax: 949-582-9626 |