| Amador Family Physicians Medical | |
|
605 New York Ranch Rd Jackson CA 95642-9328 | |
| (209) 223-2030 | |
| (209) 223-2303 |
| Full Name | Amador Family Physicians Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 605 New York Ranch Rd, Jackson, California |
| Authorized Official Name and Position | Deon Lynn Tadlock (PRESIDENT) |
| Authorized Official Contact | 2092232030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amador Family Physicians Medical Po Box 1749 Jackson CA 95642-1749 Ph: (209) 223-2030 | Amador Family Physicians Medical 605 New York Ranch Rd Jackson CA 95642-9328 Ph: (209) 223-2030 |
| NPI Number | 1629164868 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 12/31/2012 |
| Medicare PECOS PAC ID | 0547239337 |
|---|---|
| Medicare Enrollment ID | O20040928001312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629164868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Belinda L Braggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447346663 PECOS PAC ID: 5799754438 Enrollment ID: I20040929000339 |
| Provider Name | Deon Lynn Tadlock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376639583 PECOS PAC ID: 1951368505 Enrollment ID: I20041215000208 |
Helene Malabed, Do & Terrence C. Turpen, Pa-c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Court St. Suite 210, Jackson, CA 95642 Phone: 209-223-7784 Fax: 209-223-7783 | |
Premise Health Of California Medical, P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12222 New York Ranch Rd, Jackson, CA 95642 Phone: 209-223-8428 Fax: 209-223-8429 | |
Thomas Bowhay, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1245 Jackson Gate Rd, Jackson, CA 95642 Phone: 209-223-7040 Fax: 209-223-7606 | |
Anant Lodhia Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 Court St Ste 210, Jackson, CA 95642 Phone: 209-223-7784 Fax: 209-223-7783 | |
Hospitalist Medicine Physicians Of California - Jackson, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Mission Blvd, Jackson, CA 95642 Phone: 209-223-7500 | |
Heritage Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 820 E State Highway 88, Jackson, CA 95642 Phone: 209-223-7040 Fax: 209-223-7606 |