| Michael R Klieger, MD | |
|
1524 Mchenry Ave, Suite 100, Modesto, CA 95350-4500 | |
| (209) 571-6622 | |
| (209) 527-2069 |
| Full Name | Michael R Klieger |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 28 Years |
| Location | 1524 Mchenry 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 |
|---|---|---|---|
| 1114975588 | NPI | - | NPPES |
| 02571424 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 043877 (Connecticut) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | A105793 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Doctors Medical Center | Modesto, CA | Hospital |
| Emanuel Medical Center | Turlock, CA | Hospital |
| Adventist Health Sonora | Sonora, CA | Hospital |
| Mercy Medical Center | Merced, CA | Hospital |
| Oak Valley Hospital District | Oakdale, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Modesto Radiological Medical Group Inc | 2062300239 | 89 |
| Turlock Imaging Services, Llc | 3678850922 | 18 |
| Entity Name | Modesto Radiological Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992747547 PECOS PAC ID: 2062300239 Enrollment ID: O20040513000453 |
| Entity Name | Turlock Imaging Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295279859 PECOS PAC ID: 3678850922 Enrollment ID: O20170515001875 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R Klieger, MD Po Box 30997, Los Angeles, CA 90030-0997 Ph: (559) 455-4053 | Michael R Klieger, MD 1524 Mchenry Ave, Suite 100, Modesto, CA 95350-4500 Ph: (209) 571-6622 |
Eric Chau-yong Ku, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 Coffee Rd, Modesto, CA 95355 Phone: 209-572-7237 | |
Dr. Scott Alan Alexander, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-943-2041 Fax: 209-473-9365 | |
Robert Ralph Anderson, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1524 Mchenry Ave, Suite 100, Modesto, CA 95350 Phone: 209-577-4444 Fax: 209-527-2069 | |
Rafael Vargas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-550-4755 Fax: 209-521-3970 | |
Kevin Tae Il Whang, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1524 Mchenry Ave, Modesto, CA 95350 Phone: 209-577-4444 Fax: 209-527-2069 | |
Paul Jonathan Ramirez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1524 Mchenry Ave, Suite 430, Modesto, CA 95350 Phone: 209-577-4444 Fax: 209-846-7309 |