| Michael T Borrello, MD | |
|
1255 Liberty St, Redding, CA 96001-0814 | |
| (530) 246-2467 | |
| (530) 242-9460 |
| Full Name | Michael T Borrello |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 36 Years |
| Location | 1255 Liberty St, Redding, 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 |
|---|---|---|---|
| 1265476857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | C163019 (California) | Primary |
| 207L00000X | Anesthesiology | C163019 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Shasta Regional Medical Center | Redding, CA | Hospital |
| Mercy Medical Center Redding | Redding, CA | Hospital |
| St Elizabeth Community Hospital | Red bluff, CA | Hospital |
| Mercy Medical Center Of Mt Shasta | Mount shasta, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shasta Orthopedics And Sports Medicine A Medical Corporation | 3375533276 | 37 |
| 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 |
| Entity Name | Shasta Orthopedics & Sports Medicine A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750493979 PECOS PAC ID: 3375533276 Enrollment ID: O20040513000733 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael T Borrello, MD 1255 Liberty St, Redding, CA 96001-0814 Ph: (530) 246-2467 | Michael T Borrello, MD 1255 Liberty St, Redding, CA 96001-0814 Ph: (530) 246-2467 |
Dr. Paul John Scipione, M.D. Pain Medicine Medicare: Medicare Enrolled Practice Location: 2111 Airpark Dr, Redding, CA 96001 Phone: 530-247-3733 Fax: 530-247-6807 | |
Dr. Shishir A Dhruva, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 1335 Buenaventura Blvd, Suite 100, Redding, CA 96001 Phone: 530-247-7246 Fax: 530-245-0849 | |
James Gregory White, M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 473 South St, Redding, CA 96001 Phone: 530-242-1415 |