| Michael P Mcconnell, MD | |
|
100 E Valencia Mesa Dr, Suite 311, Fullerton, CA 92835-3813 | |
| (714) 446-5180 | |
| (714) 446-5181 |
| Full Name | Michael P Mcconnell |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 26 Years |
| Location | 100 E Valencia Mesa Dr, Fullerton, 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 |
|---|---|---|---|
| 1629117320 | NPI | - | NPPES |
| 00A754100 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | A75410 (California) | Primary |
| 208600000X | Surgery | A75410 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Jude Medical Center | Fullerton, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Foundation | 8921993205 | 1329 |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael P Mcconnell, MD 100 E Valencia Mesa Dr Ste 311, Fullerton, CA 92835-3800 Ph: () - | Michael P Mcconnell, MD 100 E Valencia Mesa Dr, Suite 311, Fullerton, CA 92835-3813 Ph: (714) 446-5180 |
Razmik Ghukasyan, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1950 Sunny Crest Dr Ste 3500, Fullerton, CA 92835 Phone: 714-408-4249 Fax: 714-525-0123 | |
Dr. Courtney Anne Vito, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2141 N Harbor Blvd Ste 33001, Fullerton, CA 92835 Phone: 714-446-5296 Fax: 714-665-4690 | |
Michael Tsinberg, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2141 N Harbor Blvd, Suite 35000, Fullerton, CA 92835 Phone: 714-626-8630 Fax: 714-626-8659 | |
Dong Hum Yoon, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 Sunny Crest Dr Ste 3500, Fullerton, CA 92835 Phone: 714-408-4249 | |
John Nastasi, Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835 Phone: 714-778-1032 | |
Amanda C Purdy, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 Sunny Crest Dr Ste 3500, Fullerton, CA 92835 Phone: 714-408-4249 | |
Dr. Robert Emmitt Mccoy, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1950 Sunnycrest Dr, Ste 2600, Fullerton, CA 92835 Phone: 714-446-5260 Fax: 714-446-5265 |