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Marcus Theodore Voth

Emergency Medicine

Allopathic & Osteopathic Physicians

4445 Magnolia Ave, Riverside, CA 92501-4135

PECOS Enrollment

This provider is enrolled in PECOS as MARCUS VOTH.

Based on the most recent information from CMS, provider Marcus Theodore Voth is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1922114107
Provider Type
Individual
Full Name
Voth, Marcus Theodore
Credential
M.D

Gender
Male
Sole Proprietor
No
Enumeration Date
8/21/2006
Last Updated
11/16/2007

Contact Information

Practice Location

4445 Magnolia Ave, Riverside, CA 92501-4135

(909) 788-3000

Unlisted Fax

Mailing Location

2100 Powell St, Ste 900, Emeryville, CA 94608-1826

(510) 350-2600

(510) 879-9100

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License A81140 California

Provider Identifiers

ID	Description	Issuer
ID 00A811400	Description Medicaid	Issuer Unlisted California

Marcus Theodore Voth

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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Pandya, Devan Sanjay

Chan, Eugene T.

Lau, Nicole Wai-Ga

Nguyen, Thien Minh

Chang, Brennan

Tobar, Maria Alejandra

Cep America - California

Bommannan, Rishi

Dale, Kenneth M