| Dr Jeffrey Wannares, | |
|
8554 La Mesa Blvd, La Mesa, CA 91942-9558 | |
| (619) 698-4471 | |
| Not Available |
| Full Name | Dr Jeffrey Wannares |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 14 Years |
| Location | 8554 La Mesa Blvd, La Mesa, 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 |
|---|---|---|---|
| 1851728141 | NPI | - | NPPES |
| 1851728141 | Medicaid | NC | |
| 19RFY | Other | NC | BCBS OF NC |
| NCY8940322 | Other | NC | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2017-01040 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grossmont Hospital | La mesa, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grossmont Surgical Associates Inc | 3476657313 | 4 |
| Emergency And Acute Care Medical Corporation | 9537108279 | 394 |
| Entity Name | Emergency And Acute Care Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
| Entity Name | Grossmont Surgical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295827830 PECOS PAC ID: 3476657313 Enrollment ID: O20070402000523 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey Wannares, 6415 Reflection Dr Apt 206, San Diego, CA 92124-3167 Ph: (508) 898-0986 | Dr Jeffrey Wannares, 8554 La Mesa Blvd, La Mesa, CA 91942-9558 Ph: (619) 698-4471 |
Dr. Charles John Sarosy, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 8881 Fletcher Parkway/ Dr. Charles Sarosy, Suite241, La Mesa, CA 91942 Phone: 619-697-1325 Fax: 619-697-2981 | |
Dr. Hong-der Lin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5565 Grossmont Center Dr, Bldg 1 Suite 221, La Mesa, CA 91942 Phone: 619-462-8100 Fax: 619-462-7933 | |
Dr. Scott Edward Musicant, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 8860 Center Dr, 450, La Mesa, CA 91942 Phone: 619-460-6200 Fax: 619-460-6262 | |
Dr. Garo Yerevanian, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-644-6750 Fax: 619-644-1139 | |
Phillip Dickinson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8554 La Mesa Blvd, La Mesa, CA 91941 Phone: 619-464-4469 Fax: 619-639-0300 | |
Dr. Thomas Tino Terramani, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 8860 Center Dr, 450, La Mesa, CA 91942 Phone: 619-460-6200 Fax: 619-460-6262 | |
Ronald M Johnson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5360 Jackson Drive, Ste 100, La Mesa, CA 91943 Phone: 619-462-5900 Fax: 619-462-9899 |