Wandisan And Rosete Medical Group Professional Corporation - Medicare Primary Care in Tracy, CA

Wandisan And Rosete Medical Group Professional Corporation is a medicare enrolled primary clinic (Internal Medicine) in Tracy, California. The current practice location for Wandisan And Rosete Medical Group Professional Corporation is 4600 S Tracy Blvd #107, Tracy, California. For appointments, you can reach them via phone at (209) 836-4920. The mailing address for Wandisan And Rosete Medical Group Professional Corporation is 4600 S Tracy Blvd #107, Tracy, California and phone number is (209) 836-4920.

Wandisan And Rosete Medical Group Professional Corporation is licensed to practice in California (license number A72169). The clinic also participates in the medicare program and its NPI number is 1316058795. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (209) 836-4920.

Contact Information

Wandisan And Rosete Medical Group Professional Corporation
4600 S Tracy Blvd #107
Tracy
CA 95377
(209) 836-4920
(209) 836-4935

Primary Care Clinic Profile

Full NameWandisan And Rosete Medical Group Professional Corporation
SpecialityInternal Medicine
Location4600 S Tracy Blvd #107, Tracy, California
Authorized Official Name and PositionFlorence Wandisan Rosete (CFO)
Authorized Official Contact2098364920
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wandisan And Rosete Medical Group Professional Corporation
4600 S Tracy Blvd #107
Tracy
CA 95377

Ph: (209) 836-4920
Wandisan And Rosete Medical Group Professional Corporation
4600 S Tracy Blvd #107
Tracy
CA 95377

Ph: (209) 836-4920

NPI Details:

NPI Number1316058795
Provider Enumeration Date08/31/2006
Last Update Date07/10/2018

Medicare PECOS Information:

Medicare PECOS PAC ID5193612133
Medicare Enrollment IDO20040303000608

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Medical Identifiers

Medical identifiers for Wandisan And Rosete Medical Group Professional Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316058795NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A72169 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Wandisan And Rosete Medical Group Professional Corporation acts as a billing entity for following providers:
Provider NameRollie D Rosete
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801838610
PECOS PAC ID: 9234026279
Enrollment ID: I20040305000848

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Provider NameFlorence L Wandisan-rosete
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457396897
PECOS PAC ID: 1951298991
Enrollment ID: I20040305000893

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Low birth weight and heart problems

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