| John Clancy, DO | |
|
2375 S Melrose Dr, Vista, CA 92081-8788 | |
| (760) 305-1900 | |
| (760) 305-1910 |
| Full Name | John Clancy |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 32 Years |
| Location | 2375 S Melrose Dr, Vista, 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 |
|---|---|---|---|
| 1962506238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036093708 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 20A9614 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Seaport Scripps Home Health | San diego, CA | Home health agency |
| Archer Health Inc | Carlsbad, CA | Home health agency |
| Tri-city Medical Center | Oceanside, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| John H Clancy Do And Tara Leigh Clancy Do Medical Corporation | 0547485419 | 2 |
| Entity Name | John H Clancy DO and Tara Leigh Clancy DO Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053722124 PECOS PAC ID: 0547485419 Enrollment ID: O20140709000697 |
| Mailing Address | Practice Location Address |
|---|---|
| John Clancy, DO 2375 S Melrose Dr, Vista, CA 92081-8788 Ph: (760) 305-1900 | John Clancy, DO 2375 S Melrose Dr, Vista, CA 92081-8788 Ph: (760) 305-1900 |
Ms. Prachi Toni Patel, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2023 W Vista Way Ste D, Vista, CA 92083 Phone: 303-415-4157 Fax: 303-776-3109 |
Leila Shabanian, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 Fax: 760-414-3892 |
Dr. Iga N Gray, MD, PHD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 780 Shadowridge Dr, Vista, CA 92083 Phone: 800-448-6767 |
Ted Wayne Gay, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 122 Escondido Avenue, Ste 101, Vista, CA 92084 Phone: 760-806-9263 Fax: 760-806-9264 |
Oscar A Matthews, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2095 W Vista Way, #107, Vista, CA 92083 Phone: 760-941-4005 Fax: 760-941-4090 |
Rashad Ansari, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 2023 W Vista Way, Ste. J, Vista, CA 92083 Phone: 760-724-6100 |
Stuart B Kipper, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 Sycamore Ave, Suite 220, Vista, CA 92081 Phone: 760-598-1700 Fax: 760-598-1196 |