| Randall A Ow, | |
|
2 Medical Plaza Dr, Ste 225 & 235, Roseville, CA 95661-3043 | |
| (916) 782-1391 | |
| (916) 782-5992 |
| Full Name | Randall A Ow |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 36 Years |
| Location | 2 Medical Plaza Dr, Roseville, 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 |
|---|---|---|---|
| 1336142009 | NPI | - | NPPES |
| 040017418 | Other | CA | RR MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | G86601 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Roseville Medical Center | Roseville, CA | Hospital |
| Sierra Nevada Memorial Hospital | Grass valley, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sacramento Ear Nose And Throat Surgical And Medical Group Inc | 6204905342 | 30 |
| Entity Name | Emergency And Acute Care Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
| Entity Name | Sacramento Ear Nose & Throat Surgical & Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497758155 PECOS PAC ID: 6204905342 Enrollment ID: O20080515000542 |
| Entity Name | Telemedicine Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326338237 PECOS PAC ID: 9830351824 Enrollment ID: O20120509000349 |
| Mailing Address | Practice Location Address |
|---|---|
| Randall A Ow, 1111 Exposition Blvd, Bldg 700, Sacramento, CA 95815-4314 Ph: (916) 736-3408 | Randall A Ow, 2 Medical Plaza Dr, Ste 225 & 235, Roseville, CA 95661-3043 Ph: (916) 782-1391 |
Charles Eric Gage, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 3 Medical Plaza Dr, #220, Roseville, CA 95661 Phone: 916-773-7970 Fax: 916-773-7919 | |
Tim Fife, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Plaza Dr, Suite 225, Roseville, CA 95661 Phone: 916-782-1291 Fax: 916-782-5992 | |
Daniel In Chung, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd # D, Roseville, CA 95661 Phone: 916-784-5880 | |
Betty Chen Chaudhry, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Dr Ste 220, Roseville, CA 95661 Phone: 916-773-7920 | |
Daniel R. Rietz, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
Ann C. Richardson, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
Dr. Danielle Carin Anderson, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Dr Ste 220, Roseville, CA 95661 Phone: 916-773-7920 Fax: 916-773-7921 |