| Mark C Bocchicchio, MD, FACC | |
|
1941 Johnson Ave Ste 101, San Luis Obispo, CA 93401-4154 | |
| (805) 782-8844 | |
| (805) 782-8859 |
| Full Name | Mark C Bocchicchio |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 29 Years |
| Location | 1941 Johnson Ave Ste 101, San Luis Obispo, 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 |
|---|---|---|---|
| 1770543373 | NPI | - | NPPES |
| 00A6368700 | Medicaid | CA | |
| P00187560 | Other | CA | RR MEDI-CARE |
| ZZZ28458Z | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | A63687 (California) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | A63687 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Verde Valley Medical Center | Cottonwood, AZ | Hospital |
| Flagstaff Medical Center | Flagstaff, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Arizona Healthcare Corporation | 3577473362 | 382 |
| Entity Name | Northern Arizona Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark C Bocchicchio, MD, FACC 1941 Johnson Ave, Suite 101, San Luis Obispo, CA 93401-4140 Ph: (805) 782-8844 | Mark C Bocchicchio, MD, FACC 1941 Johnson Ave Ste 101, San Luis Obispo, CA 93401-4154 Ph: (805) 782-8844 |
Rabab Hajar, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 35 Casa St Ste 130, San Luis Obispo, CA 93405 Phone: 805-541-1422 Fax: 805-595-1815 | |
Justin N Grammy, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1428 Phillips Ln Ste 203, San Luis Obispo, CA 93401 Phone: 805-543-4407 Fax: 805-543-4587 | |
Pravir R Vatsa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1023 Nipomo St # 110, San Luis Obispo, CA 93401 Phone: 805-439-2998 Fax: 805-439-2997 | |
Philippe Duhaime, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Sierra Vista Regional Medical Center, 1010 Murray Ave,, San Luis Obispo, CA 93405 Phone: 805-546-7000 | |
Dr. Grace Crittenden, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1250 Peach St Ste B, San Luis Obispo, CA 93401 Phone: 805-543-4043 | |
Christopher Vaughn Holland, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1551 Bishop St Ste 250, San Luis Obispo, CA 93401 Phone: 805-540-0689 Fax: 805-541-4376 | |
Dr. Deborah A. Cherry, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4251 S Higuera St Ste 701, San Luis Obispo, CA 93401 Phone: 805-439-1381 Fax: 805-439-0138 |