| Jean-pierre Phancao, MD | |
|
500 Redwood Blvd Ste 300, Novato, CA 94947-6921 | |
| (415) 464-8081 | |
| Not Available |
| Full Name | Jean-pierre Phancao |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 23 Years |
| Location | 500 Redwood Blvd Ste 300, Novato, 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 |
|---|---|---|---|
| 1215054416 | NPI | - | NPPES |
| 00A979380 | Medicaid | CA | |
| 0185469 | Medicaid | NJ | |
| P00480244 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A97938 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marinhealth Medical Center | Greenbrae, CA | Hospital |
| Oklahoma Surgical Hospital, Llc | Tulsa, OK | Hospital |
| Sonoma Valley Hospital | Sonoma, CA | Hospital |
| Sutter Lakeside Hospital | Lakeport, CA | Hospital |
| Nebraska Orthopaedic Hospital | Omaha, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| California Advanced Imaging Medical Associates Inc | 0244144228 | 76 |
| Monterey Spine And Joint Pc | 0840295721 | 65 |
| New Century Imaging Llc | 4082517370 | 61 |
| Prima Medical Foundation | 6406040138 | 29 |
| New Century Imaging Llc | 4082517370 | 61 |
| California Advanced Imaging Medical Associates Inc | 0244144228 | 76 |
| Prima Medical Foundation | 6406040138 | 29 |
| Proliance Surgeons Inc P S | 8527972900 | 355 |
| Entity Name | California Advanced Imaging Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881646909 PECOS PAC ID: 0244144228 Enrollment ID: O20031113000847 |
| Entity Name | Oklahoma Surgical Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487651857 PECOS PAC ID: 7315859121 Enrollment ID: O20040420001776 |
| Entity Name | Monterey Spine & Joint Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881620599 PECOS PAC ID: 0840295721 Enrollment ID: O20060927000475 |
| Entity Name | Prima Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811217946 PECOS PAC ID: 6406040138 Enrollment ID: O20101027000334 |
| Entity Name | New Century Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710909262 PECOS PAC ID: 4082517370 Enrollment ID: O20160222000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Jean-pierre Phancao, MD Po Box 6102, Novato, CA 94948-6102 Ph: (415) 884-3404 | Jean-pierre Phancao, MD 500 Redwood Blvd Ste 300, Novato, CA 94947-6921 Ph: (415) 464-8081 |
Ari Kane, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 180 Rowland Way, Novato, CA 94945 Phone: 415-209-1500 Fax: 415-209-1501 | |
Robert L Wirth, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 180 Rowland Way, Novato, CA 94945 Phone: 415-209-1500 Fax: 415-209-1501 | |
Crystal Chang, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 180 Rowland Way, Novato, CA 94945 Phone: 415-290-1500 Fax: 415-209-1501 | |
Ralph Maximillian Koenker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 180 Rowland Way, Novato, CA 94945 Phone: 415-290-1500 |