| Dr Timothy John Dalsaso, MD | |
|
2700 Dolbeer St, St. Joseph Hospital, Eureka, CA 95501-4736 | |
| (707) 442-7814 | |
| (707) 445-3710 |
| Full Name | Dr Timothy John Dalsaso |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 25 Years |
| Location | 2700 Dolbeer St, Eureka, 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 |
|---|---|---|---|
| 1497737639 | NPI | - | NPPES |
| J28834 | Other | MA | BCBS MA |
| 2106582 | Medicaid | MA | |
| 478702 | Other | MA | TUFTS HEALTH PLAN |
| A101314 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 224783 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Hospital | Eureka, CA | Hospital |
| Mad River Community Hospital | Arcata, CA | Hospital |
| Redwood Memorial Hospital | Fortuna, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Humboldt Radiology Medical Group,inc | 4082500046 | 12 |
| Entity Name | Humboldt Radiology Medical Group,inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326154196 PECOS PAC ID: 4082500046 Enrollment ID: O20041217000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy John Dalsaso, MD Po Box 6428, Humboldt Radiology Medical Group,inc., Eureka, CA 95502-6428 Ph: (707) 442-7814 | Dr Timothy John Dalsaso, MD 2700 Dolbeer St, St. Joseph Hospital, Eureka, CA 95501-4736 Ph: (707) 442-7814 |
Matthew Marc Fluke, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2330 Buhne St, Eureka, CA 95501 Phone: 707-442-7814 Fax: 707-445-3710 | |
Dr. James Bryan Moore Iii, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2700 Dolbeer Ave, Eureka, CA 95501 Phone: 707-445-5431 Fax: 707-445-3710 | |
Mr. Michael W Harmon, MD Radiology Medicare: Medicare Enrolled Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-269-4229 Fax: 707-269-3849 | |
Dr. Douglas A Kelly, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-269-4229 Fax: 707-269-3849 | |
Richard Brian Greaney, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2330 Buhne St, Eureka, CA 95501 Phone: 707-442-3704 Fax: 707-442-8986 | |
Dr. Donald Craig Wheeler, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 550 Russ St, Eureka, CA 95501 Phone: 707-445-5431 Fax: 707-277-3001 |