| Theodore R Bosch, MD | |
|
1064 N Cherry St, Tulare, CA 93274-2251 | |
| (559) 687-2344 | |
| (559) 687-2013 |
| Full Name | Theodore R Bosch |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 26 Years |
| Location | 1064 N Cherry St, Tulare, 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 |
|---|---|---|---|
| 1912032962 | NPI | - | NPPES |
| 00A753330 | Other | CA | BLUE SHIELD |
| 00A753330 | Other | CA | BLUE CROSS |
| 00A753330 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD61652294 (Washington) | Primary |
| 208600000X | Surgery | A75333 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Skagit Valley Hospital | Mount vernon, WA | Hospital |
| Cascade Valley Hospital | Arlington, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pro Health One Inc | 2466778089 | 18 |
| Pro Health One Inc | 2466778089 | 18 |
| Pro Health One Inc | 2466778089 | 18 |
| Public Hospital Dist No 1 Skagit | 6800793522 | 282 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210305000869 |
| Entity Name | Pro Health One Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053714584 PECOS PAC ID: 2466778089 Enrollment ID: O20210504001507 |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore R Bosch, MD 1064 N Cherry St, Tulare, CA 93274-2251 Ph: (559) 687-2344 | Theodore R Bosch, MD 1064 N Cherry St, Tulare, CA 93274-2251 Ph: (559) 687-2344 |
Cesar A Ramos, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 793 North Cherry St, Tulare, CA 93274 Phone: 559-685-8216 Fax: 559-685-8482 | |
Fateh Entabi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1070 N Cherry St, Tulare, CA 93274 Phone: 559-412-5533 Fax: 559-412-5534 |