| Dr Jerome Michael Mcdonald, MD | |
|
1901 N California St, Stockton, CA 95204-6005 | |
| (209) 946-6800 | |
| (209) 946-6805 |
| Full Name | Dr Jerome Michael Mcdonald |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 1901 N California St, Stockton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740253301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | C52651 (California) | Primary |
| Entity Name | Dignity Health Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jerome Michael Mcdonald, MD 3400 Data Dr, Attention: Credentialing And Payer Enrollment Dept, Rancho Cordova, CA 95670 Ph: () - | Dr Jerome Michael Mcdonald, MD 1901 N California St, Stockton, CA 95204-6005 Ph: (209) 946-6800 |
Dr. James Dell Morrissey, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1617 N California St Suite 1d, Stockton, CA 95204 Phone: 209-948-1234 Fax: 209-462-9233 | |
John B Overton, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 420 W Acacia St, Suite 17, Stockton, CA 95203 Phone: 209-851-3883 Fax: 209-851-3867 | |
Isam Felahy, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 2800 N California St, Suite 15, Stockton, CA 95204 Phone: 209-466-3457 Fax: 209-466-1229 | |
Dr. Gamal Mohamed Khalil Marey, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: May Accept Medicare Assignments Practice Location: 530 W Acacia St Ste 1, Stockton, CA 95203 Phone: 209-242-7098 | |
Dr. Minghui Liu, MD, PHD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 530 W Acacia St Ste 1, Stockton, CA 95203 Phone: 209-242-7098 |