| Michael H Caccavale, MD | |
|
121 Sotoyome St, Santa Rosa, CA 95405-4823 | |
| (707) 546-4062 | |
| (707) 525-4095 |
| Full Name | Michael H Caccavale |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 19 Years |
| Location | 121 Sotoyome St, Santa Rosa, 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 |
|---|---|---|---|
| 1518164425 | NPI | - | NPPES |
| 572447100 | Medicaid | MN |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Santa Rosa Regional Hospital | Santa rosa, CA | Hospital |
| Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
| Sonoma Valley Hospital | Sonoma, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Bay Medical Foundation | 4284538778 | 3318 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558463927 PECOS PAC ID: 3577476761 Enrollment ID: O20040107000584 |
| Entity Name | Regents Of The University Of California Ucsd Department Of Radiology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225213655 PECOS PAC ID: 8224108741 Enrollment ID: O20080610000132 |
| Entity Name | Redwood Radiology Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326461708 PECOS PAC ID: 7214168095 Enrollment ID: O20140319001514 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael H Caccavale, MD Po Box 5651, Orange, CA 92863-5651 Ph: (714) 571-5000 | Michael H Caccavale, MD 121 Sotoyome St, Santa Rosa, CA 95405-4823 Ph: (707) 546-4062 |
Gary Raymond Roper, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3883 Airway Dr Ste 101, Santa Rosa, CA 95403 Phone: 707-521-4480 Fax: 707-521-4460 | |
Dr. Alvaris W Duffis, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3325 Chanate Rd, Santa Rosa, CA 95404 Phone: 707-576-4475 | |
Katherine R. Vickery, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
David Howard Schmidt, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 121 Sotoyome St, Santa Rosa, CA 95405 Phone: 707-546-4062 Fax: 707-578-6258 | |
Dr. Shawn Daly, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 121 Sotoyome St, Santa Rosa, CA 95405 Phone: 707-546-4062 Fax: 707-525-4095 | |
Clifford F Sweet, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-569-4740 | |
Gregory P Penning, R.T.(R)(CT)ARRT Radiology Medicare: Not Enrolled in Medicare Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000 |