| Jonathan David Packer, DO | |
|
5 Medical Plaza Dr Ste 190, Roseville, CA 95661-2867 | |
| (916) 679-3590 | |
| Not Available |
| Full Name | Jonathan David Packer |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 5 Medical Plaza Dr Ste 190, Roseville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316472764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A21007 (California) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 20A21007 (California) | Primary |
| Entity Name | Pulmonary Medicine Associates Medical Group Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407880719 PECOS PAC ID: 4981506730 Enrollment ID: O20040122001035 |
| Entity Name | Galen Inpatient Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689320459 PECOS PAC ID: 3678464633 Enrollment ID: O20040322000680 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan David Packer, DO 1300 Ethan Way Ste 600, Sacramento, CA 95825-2296 Ph: (916) 679-3590 | Jonathan David Packer, DO 5 Medical Plaza Dr Ste 190, Roseville, CA 95661-2867 Ph: (916) 679-3590 |
Mr. Jaspreet Singh Dhanjal, D.O. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 2235 Douglas Blvd Ste 510, Roseville, CA 95661 Phone: 916-446-4449 Fax: 916-446-4370 | |
James H. Heykes, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
Dr. Lakhvir Kaur, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Plaza Dr Ste 200, Roseville, CA 95661 Phone: 916-797-4715 | |
Dr. John T Bakos, M.D., PHD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 729 Sunrise Ave, Suite 610, Roseville, CA 95661 Phone: 916-347-7001 Fax: 916-304-1633 | |
Uma H Gowda, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 8 Medical Plaza Dr Ste 300, Roseville, CA 95661 Phone: 916-782-5106 Fax: 916-878-4941 | |
Peter A. Javaheri, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
Rani Reddy Vatti, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 |