Theodore C Pratt, MD | |
9434 Medical Center Dr Fl 1, La Jolla, CA 92037-1337 | |
(619) 532-9140 | |
Not Available |
Full Name | Theodore C Pratt |
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Gender | Male |
Speciality | Thoracic Surgery |
Experience | 27 Years |
Location | 9434 Medical Center Dr Fl 1, La Jolla, 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 |
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1013954080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 46523-020 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
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Northern Nevada Medical Center | Sparks, NV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
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Northern Nevada Medical Group, Llc | 7214093020 | 71 |
Entity Name | Northern Nevada Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972751618 PECOS PAC ID: 7214093020 Enrollment ID: O20090303000483 |
Mailing Address | Practice Location Address |
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Theodore C Pratt, MD 11020 Matinal Cir, San Diego, CA 92127-1260 Ph: () - | Theodore C Pratt, MD 9434 Medical Center Dr Fl 1, La Jolla, CA 92037-1337 Ph: (619) 532-9140 |
William Gang Wang, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 9898 Genesee Ave, La Jolla, CA 92037 Phone: 858-824-5363 Fax: 858-964-3112 | |
Dr. John J. Tyner, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 9898 Genesee Ave, La Jolla, CA 92037 Phone: 858-824-5363 | |
Richard Duane Stahl, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 9850 Genesee Ave, Ste 560, La Jolla, CA 92037 Phone: 858-455-6330 Fax: 858-455-5408 | |
Alexander Serge Giritsky, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 9850 Genesee Ave, Ste 560, La Jolla, CA 92037 Phone: 858-455-6330 Fax: 858-455-5408 | |
Scot A Brewster, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 9850 Genesee Ave, Ste 560, La Jolla, CA 92037 Phone: 858-455-6330 Fax: 858-455-5408 | |
Dr. Sam Baradarian, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 9898 Genesee Ave, La Jolla, CA 92037 Phone: 858-824-5363 |