| Dr Jason Marshall Hiatt, DPM | |
|
1401 Spanos Ct, Suite 104, Modesto, CA 95355-2810 | |
| (209) 525-3150 | |
| (209) 525-3153 |
| Full Name | Dr Jason Marshall Hiatt |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 27 Years |
| Location | 1401 Spanos Ct, 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 |
|---|---|---|---|
| 1760580310 | NPI | - | NPPES |
| 000E43500 | Other | CA | BLUE SHIELD |
| 000E43500 | Medicaid | CA | |
| 480033874 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0000X | Podiatrist - Sports Medicine | E4350 (California) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E4350 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alta Bates Summit Medical Center - Alta Bates Camp | Berkeley, CA | Hospital |
| Saint Francis Memorial Hospital | San francisco, CA | Hospital |
| Alta Bates Summit Medical Center | Oakland, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bay Area Foot Care Inc | 0345329686 | 109 |
| Provider Name | John Muir Trauma Physicians Billing Service |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093864837 PECOS PAC ID: 3476542515 Enrollment ID: O20050420001452 |
| Provider Name | Bay Area Foot Care Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508911892 PECOS PAC ID: 0345329686 Enrollment ID: O20080512000353 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason Marshall Hiatt, DPM Po Box 4512, Walnut Creek, CA 94596-0512 Ph: (925) 934-3536 | Dr Jason Marshall Hiatt, DPM 1401 Spanos Ct, Suite 104, Modesto, CA 95355-2810 Ph: (209) 525-3150 |
Ronald D. Jensen, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211 | |
Associated Podiatry Group Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 730 16th St, Modesto, CA 95354 Phone: 209-529-9450 Fax: 209-529-3439 | |
Dr. H Rand Tolboe, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1401 Spanos Ct, Suite 104, Modesto, CA 95355 Phone: 209-525-3150 Fax: 209-525-3153 | |
H. Rand Tolboe, D.p.m. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1401 Spanos Ct, Suite 104, Modesto, CA 95355 Phone: 209-525-3150 Fax: 209-525-3153 | |
David R. Collman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000 | |
Tolboe Foot & Ankle, Inc., A Podiatric Medical Corporation Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1401 Spanos Court, Suite #104, Modesto, CA 95355 Phone: 209-525-3150 Fax: 209-515-3153 | |
Dr. Rajdeep K Sahota, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 2116 E Orangeburg Ave, Suite A, Modesto, CA 95355 Phone: 209-577-1411 |