| Susan V Areeckal, MD | |
|
1300 W Lodi Ave Ste P, Lodi, CA 95242-3038 | |
| (209) 366-1990 | |
| (209) 366-2169 |
| Full Name | Susan V Areeckal |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1300 W Lodi Ave Ste P, Lodi, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285862011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 266965 (New York) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan V Areeckal, MD Po Box 255228, Sacramento, CA 95865-5228 Ph: (800) 470-0071 | Susan V Areeckal, MD 1300 W Lodi Ave Ste P, Lodi, CA 95242-3038 Ph: (209) 366-1990 |
Frank Silvio Alvarado, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 830 S Ham Lane, Suite 30, Lodi, CA 95240 Phone: 209-333-7540 Fax: 209-333-7444 | |
Michael Jay Boling, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2401 W Turner Rd Ste 450, Lodi, CA 95242 Phone: 209-373-2859 | |
Richard Wyman Yee, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W Lodi Ave, Sutie P, Lodi, CA 95242 Phone: 209-366-1990 | |
Dr. Cha Choukao Thao, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 W Turner Rd Ste 450, Lodi, CA 95242 Phone: 209-370-1700 | |
Robert J Kellar Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242 Phone: 209-334-8540 Fax: 209-368-2885 | |
Norman Dagobert Schmidt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242 Phone: 209-334-8540 Fax: 209-368-2885 |