| Robert Craig Fetz, MD | |
|
1524 Mchenry Ave, Suite 100, Modesto, CA 95350-4500 | |
| (209) 577-4444 | |
| (209) 527-2069 |
| Full Name | Robert Craig Fetz |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 50 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 |
|---|---|---|---|
| 1306869177 | NPI | - | NPPES |
| 00G331140 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | G33114 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Doctors Medical Center | Modesto, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Modesto Radiological Medical Group Inc | 2062300239 | 89 |
| Entity Name | County Of San Joaquin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801830583 PECOS PAC ID: 6002703436 Enrollment ID: O20040301001287 |
| 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 | San Joaquin Faculty Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225063761 PECOS PAC ID: 4082631395 Enrollment ID: O20051026000742 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Craig Fetz, MD 101 Park Ave, Modesto, CA 95354-0556 Ph: (209) 571-6622 | Robert Craig Fetz, MD 1524 Mchenry Ave, Suite 100, Modesto, CA 95350-4500 Ph: (209) 577-4444 |
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 | |
Michael R. Klieger, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1524 Mchenry Ave, Suite 100, Modesto, CA 95350 Phone: 209-571-6622 Fax: 209-527-2069 |