| Dr Michael Alfred Mellenthin Jr, MD | |
| Fresno & R Street, Fresno, CA 93721 | |
| (559) 459-6000 | |
| Not Available | 
| Full Name | Dr Michael Alfred Mellenthin Jr | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology | 
| Location | Fresno & R Street, Fresno, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1225172745 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | G58951 (California) | Primary | 
| Entity Name | Cep America - Anesthesia Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1790401438 PECOS PAC ID: 3678897915 Enrollment ID: O20150115001110 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Michael Alfred Mellenthin Jr, MD Po Box 45123, San Francisco, CA 94145-7733 Ph: (209) 956-7725 | Dr Michael Alfred Mellenthin Jr, MD Fresno & R Street, Fresno, CA 93721 Ph: (559) 459-6000 | 
| William B Etiz, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1303 E Herndon Ave, Fresno, CA 93720 Phone: 559-450-3000 | |
| Yang J Kim, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1303 E Herndon Ave, Fresno, CA 93720 Phone: 559-450-3000 | |
| John S Sturman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1303 E Herndon Ave, Fresno, CA 93720 Phone: 559-450-3000 | |
| Gregory Alan Smith, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5680 N Fresno St Ste 105, Fresno, CA 93710 Phone: 559-374-5130 Fax: 888-977-4918 | |
| Rasheed Amireh, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1630 E Herndon Ave, Fresno, CA 93720 Phone: 559-447-1432 Fax: 559-432-2874 | |
| Andre S Motie, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1303 E Herndon Ave, Fresno, CA 93720 Phone: 559-450-3000 | |
| Dr. Timothy Hansen, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 6235 N Fresno St, Suite # 103, Fresno, CA 93710 Phone: 559-449-4350 Fax: 559-449-4358 |