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Joseph Wayne Holecko

Anesthesiology

Allopathic & Osteopathic Physicians

3315 Watt Ave, Sacramento, CA 95821-3600

PECOS Enrollment

This provider is enrolled in PECOS as JOSEPH HOLECKO.

Based on the most recent information from CMS, provider Joseph Wayne Holecko 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
1558627992
Provider Type
Individual
Full Name
Holecko, Joseph Wayne
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/10/2012
Last Updated
4/1/2020

Contact Information

Practice Location

3315 Watt Ave, Sacramento, CA 95821-3600

(916) 481-6800

Unlisted Fax

Mailing Location

410 W 10th Ave, N411 Doan Hall, Columbus, OH 43210-1240

(614) 293-8487

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License A161027 California
Code 208D00000X	Description General Practice Allopathic & Osteopathic Physicians	License 35.122531 Ohio
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Joseph Wayne Holecko

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Moore, Patrick A

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Le, Duc Phuong

Schultz, Darcey Lynn

Osmani, Bijan

Modiste, Sidney Joseph