| James C Macmillan, MD | |
|
1541 Florida Ave, 103, Modesto, CA 95350-4423 | |
| (209) 577-3388 | |
| (209) 523-0764 |
| Full Name | James C Macmillan |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 1541 Florida Ave, Modesto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366499584 | NPI | - | NPPES |
| ZZZ76734Z | Medicaid | CA | |
| CD069A | Other | CA | MEDICARE GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | G23487 (California) | Primary |
| 2086S0129X | Surgery - Vascular Surgery | G23487 (California) | Secondary |
| Entity Name | Valley Heart Associates Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689614562 PECOS PAC ID: 1254354111 Enrollment ID: O20060106000392 |
| Entity Name | First Choice Physician Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104183052 PECOS PAC ID: 0941465322 Enrollment ID: O20120710000480 |
| Mailing Address | Practice Location Address |
|---|---|
| James C Macmillan, MD 1541 Florida Ave, 200, Modesto, CA 95350-4423 Ph: (209) 577-3388 | James C Macmillan, MD 1541 Florida Ave, 103, Modesto, CA 95350-4423 Ph: (209) 577-3388 |
John Benjamin Degraft-johnson, M.D., Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1541 Florida Ave Ste 305, Modesto, CA 95350 Phone: 209-575-5836 Fax: 209-577-1040 | |
Joe F Neal, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-571-8330 Fax: 209-491-7184 | |
Rajaratnam Skantharaja, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1501 Oakdale Rd, Suite 218, Modesto, CA 95355 Phone: 209-572-4222 | |
Lit Keung Fung, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1501 Oakdale Rd, Suite 218, Modesto, CA 95355 Phone: 209-572-4222 Fax: 209-572-4272 | |
Dr. Zachary Edgar Brewer, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1541 Florida Ave Ste 305, Modesto, CA 95350 Phone: 209-575-5833 Fax: 209-575-5836 |