851 GOVERNOR CARLOS CAMACHO ROAD
TAMUNING, GU 96913-3153 US PECOS Enrolled
John Ray Taitano
Internal Medicine Physician
- TAMUNING, GU
- Phone: (671)-300-0840
- Last Updated 3/7/2023
Overview
John Ray Taitano is a Internal Medicine Physician in the TAMUNING area and has over 47 years of experience. John Ray Taitano primary office location is at 851 GOVERNOR CARLOS CAMACHO ROAD and new patients are welcome to contact this healthcare provider for an appointment. He attended University Of Hawaii John A. Burns School Of Medicine and graduated 1977
John Ray Taitano is affiliated with three hospitals in the TAMUNING area, including . The NPI number is 1740336247 and the information was updated approximately 1 year ago.
John Ray Taitano is affiliated with one medical group in the TAMUNING area, THE DOCTORS CLINIC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| M675 | GU |
| Type/Issuer | Identifier | State |
|---|---|---|
| GUAM BOARD OF MEDICAL EXAMINERS LICENSURE | M675 | GU |
| MEDICAID | 611 | GU |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | GU | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20160607000527 |
| PECOS Individual PAC ID: | 9931195799 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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