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Jacqueline Gaerlan De Castro

Family Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as JACQUELINE DECASTRO.

Based on the most recent information from CMS, provider Jacqueline Gaerlan De Castro 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 yesterday at 11:47 AM.

Profile Details

Provider ID
1124241559
Provider Type
Individual
Full Name
De Castro, Jacqueline Gaerlan
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/11/2007
Last Updated
4/7/2020

Contact Information

Practice Location

1457 Bailey St, Hanford, CA 93230-5943

(559) 582-9100

(559) 582-9103

Mailing Location

PO Box 2117, Hanford, CA 93232-2117

(559) 582-9100

(559) 582-9103

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License A101754 California

Jacqueline Gaerlan De Castro

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Vanegas, Alvin Enrique

Renteria, Adalberto

Patel, Vimal B

Michael K Lloyd Md Inc

Matos, Adriana Marie

Conanan, Emmanuel C.

Sidhu, Paramvir S

Lloyd, Michael Kevin

Miller, Dennis Keith