| Dr Jonathon Robert Staples, MD | |
|
1409 E Briggsmore Ave, Modesto, CA 95355-2707 | |
| (209) 550-4740 | |
| Not Available |
| Full Name | Dr Jonathon Robert Staples |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 13 Years |
| Location | 1409 E Briggsmore Ave, Modesto, 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 |
|---|---|---|---|
| 1790048007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 2012017469 (Missouri) | Secondary |
| 207X00000X | Orthopaedic Surgery | A146875 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Medical Center | Modesto, CA | Hospital |
| Sutter Tracy Community Hospital | Tracy, CA | Hospital |
| Adventist Health Sonora | Sonora, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Valley Medical Foundation | 9830094515 | 2136 |
| 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 Jonathon Robert Staples, MD Po Box 255228, Sacramento, CA 95865-5228 Ph: () - | Dr Jonathon Robert Staples, MD 1409 E Briggsmore Ave, Modesto, CA 95355-2707 Ph: (209) 550-4740 |
Marc A Trzeciak, D. O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350 Phone: 209-572-3224 Fax: 209-572-4528 | |
Dr. Alexander Allen Davis, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1401 Spanos Ct, Suite 101, Modesto, CA 95355 Phone: 209-606-5567 Fax: 209-525-3891 | |
Todd C Smith, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1409 E Briggsmore Ave, Modesto, CA 95355 Phone: 209-550-4725 | |
Wesley E Kinzie, MD Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 1401 Spanos Ct #101, Modesto, CA 95355 Phone: 209-525-3140 Fax: 209-525-3894 | |
Dr. Kip R Wilkins, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4601 Dale Rd, 1st Floor Suite 1a6, Department Of Orthopaedics, Modesto, CA 95356 Phone: 209-735-6104 | |
Lenita Rochell Williamson, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2116 E Orangeburg Ave, Ste A, Modesto, CA 95355 Phone: 209-577-1411 Fax: 209-577-1236 | |
Margaret Kathleen Grisell, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4601 Dale Rd, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 Phone: 209-735-5000 |