| Dr Tony M Chang, MD | |
|
801 S Ham Ln Ste E, Lodi, CA 95242-7502 | |
| (209) 333-1441 | |
| (209) 333-1476 |
| Full Name | Dr Tony M Chang |
|---|---|
| Gender | Male |
| Speciality | Surgical Oncology |
| Experience | 24 Years |
| Location | 801 S Ham Ln Ste E, Lodi, 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 |
|---|---|---|---|
| 1164445896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | A85797 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Lodi Memorial | Lodi, CA | Hospital |
| Clovis Community Medical Center | Clovis, CA | Hospital |
| Saint Agnes Medical Center | Fresno, CA | Hospital |
| Dameron Hospital | Stockton, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cancer Therapy Medical Group Inc | 6800792003 | 12 |
| 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 |
| Entity Name | Cancer Therapy Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952585754 PECOS PAC ID: 6800792003 Enrollment ID: O20031209000651 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tony M Chang, MD 801 S Ham Ln Ste E, Lodi, CA 95242-7502 Ph: (209) 333-1441 | Dr Tony M Chang, MD 801 S Ham Ln Ste E, Lodi, CA 95242-7502 Ph: (209) 333-1441 |
Dr. Denny Schoch, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 999 S Fairmont Ave, Suite 100, Lodi, CA 95240 Phone: 209-334-2010 Fax: 209-334-0132 | |
Mr. Alexander Johannes Nedopil, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 999 S Fairmont Ave Ste 125, Lodi, CA 95240 Phone: 209-334-8514 | |
Gordon Thomas Fahey Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 999 S Fairmont Ave, Suite 100, Lodi, CA 95240 Phone: 209-334-2010 Fax: 209-334-0132 | |
Dr. Rolando G Simeon, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 S Ham Ln, Suite E, Lodi, CA 95242 Phone: 209-333-1441 Fax: 209-333-1476 | |
Dr. Michael Ketelaar, M. D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1231 W Vine St, Lodi, CA 95240 Phone: 209-368-7121 Fax: 209-368-5750 | |
Nagui Nabil Sorour, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 999 S Fairmont Ave #100, Lodi, Lodi, CA 95240 Phone: 209-334-2010 Fax: 209-334-0132 |