| Dr John Elazegui Nepomuceno, MD | |
|
1520 Collyer Dr, Redding, CA 96003-9535 | |
| (702) 453-3799 | |
| (530) 243-1612 |
| Full Name | Dr John Elazegui Nepomuceno |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 40 Years |
| Location | 1520 Collyer Dr, Redding, 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 |
|---|---|---|---|
| 1477673770 | NPI | - | NPPES |
| GR0094270 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C50728 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Freedom Home Health And Hospice Care Services, Inc | Marysville, CA | Hospice |
| Oroville Hospital | Oroville, CA | Hospital |
| Mercy Medical Center Redding | Redding, CA | Hospital |
| Mercy Medical Center Of Mt Shasta | Mount shasta, CA | Hospital |
| Copper Ridge Care Center | Redding, CA | Nursing home |
| Oak River Rehab | Anderson, CA | Nursing home |
| Entity Name | Docs Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063457620 PECOS PAC ID: 9931112075 Enrollment ID: O20060713000164 |
| Entity Name | Shasta Regional Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396990545 PECOS PAC ID: 5991861353 Enrollment ID: O20090310000251 |
| Entity Name | Nepomuceno Hospital Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710334677 PECOS PAC ID: 5092008672 Enrollment ID: O20160719002212 |
| Entity Name | Vituity Hospitalists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730666108 PECOS PAC ID: 2567714090 Enrollment ID: O20181011001813 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Elazegui Nepomuceno, MD Po Box 992337, Redding, CA 96099-2337 Ph: (702) 453-3799 | Dr John Elazegui Nepomuceno, MD 1520 Collyer Dr, Redding, CA 96003-9535 Ph: (702) 453-3799 |
Allen Krohn, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1756 Continental St, Redding, CA 96001 Phone: 530-244-4772 | |
Alissa Goodwin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2510 Airpark Dr Ste 201, Redding, CA 96001 Phone: 530-244-4034 | |
Dr. Randall James Lankford, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5814 Old Barn Way, Redding, CA 96001 Phone: 530-246-3620 | |
Shane Matthew Swanson, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1093 Hilltop Dr, Redding, CA 96003 Phone: 530-221-1565 Fax: 530-221-3912 | |
John M Kimple, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2510 Airpark Dr, Suite 201, Redding, CA 96001 Phone: 530-244-4034 Fax: 530-244-1821 | |
Dr. James R. Bennie, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1441 Liberty St Ste 201, Redding, CA 96001 Phone: 530-226-1721 Fax: 530-224-2742 | |
John D Pearson, PA Family Medicine Medicare: Medicare Enrolled Practice Location: 2111 Airpark Dr, Redding, CA 96001 Phone: 530-247-3733 Fax: 530-246-0644 |