| Michael A Medeiros, MD | |
|
2256 Dockery Ave Ste B, Selma, CA 93662-3874 | |
| (559) 856-6170 | |
| (559) 856-6172 |
| Full Name | Michael A Medeiros |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 19 Years |
| Location | 2256 Dockery Ave Ste B, Selma, 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 |
|---|---|---|---|
| 1417120866 | NPI | - | NPPES |
| 12583839 | Other | CA | CAQH NUMBER |
| A117400 | Other | CA | LICENSE NUMBER |
| 18511 | Other | NV | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A117400 (California) | Secondary |
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 64725 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Renown Regional Medical Center | Reno, NV | Hospital |
| Saint Agnes Medical Center | Fresno, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Agnes Medical Center | 3971409335 | 40 |
| Saint Agnes Medical Foundation | 7618946369 | 137 |
| Community Care Services Llc | 1951324318 | 505 |
| Entity Name | Saint Agnes Medical Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1205845567 PECOS PAC ID: 3971409335 Enrollment ID: O20070824000478 |
| Entity Name | Saint Agnes Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558819482 PECOS PAC ID: 7618946369 Enrollment ID: O20170125002669 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A Medeiros, MD 4032 W Swanson Ave, Caruthers, CA 93609-9552 Ph: (559) 856-6170 | Michael A Medeiros, MD 2256 Dockery Ave Ste B, Selma, CA 93662-3874 Ph: (559) 856-6170 |
Dr. Bradley Wright Strong, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3400 Mccall Ave Ste 104, Selma, CA 93662 Phone: 855-343-1057 |