Douglas Jicha MD in Santa Rosa, California

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Douglas Jicha MD has Vascular Surgery as his primary medical specialty. Their primary office is: 1165 Montgomery Dr in Santa Rosa, California. There is an additional office location, for a total of two, for Douglas Jicha MD that can be viewed further down.

They're a part of the: Providence Medical Foundation medical group which has around 1,270 members. You can call their office at 707-546-3210 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Columbia University College Of Physicians And Surgeons and graduated in 1986 (around 38 years of experience). They are listed as doing telehealth appointments.

Douglas L Jicha MD Office Phone and Directions

Douglas Jicha MD
Providence Medical Foundation
1165 Montgomery Dr
Santa Rosa, California 95405
707-546-3210

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Phone: 707-546-3210

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Healthcare Info for Douglas Jicha MD

Additional Medical Specialties Include:
GENERAL SURGERY

Medical School: Columbia University College Of Physicians And Surgeons
Graduation Year: 1986
The Primary Medical Specialty for Douglas Jicha MD is listed as: Vascular Surgery
Credentials: MD
Additional Credentials:
Approximate Years of Experience: 38
PAC (PECOS ID)#: 5698710267
NPI #: 1306879325
NPI Created On: 07/10/2006
NPI Last Updated Listed as: 11/03/2021
Primary Taxonomy Code: 2086S0129X
License Number:
006810
Listed Gender: Male

Insurance, Services, Charges

Forms of insurance accepted by include, but are not limited to:

Humana
Medicare

They are listed as accepting new patients.

Languages spoken by staff include: English.

Services and Procedures include:

Insertion of catheter into abdominal pelvic or leg artery
Insertion of catheter into abdominal pelvic or leg artery
Connection of tube graft to vein and artery for dialysis
Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure
Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure
Insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure
Radiological supervision and interpretation x-ray of abdominal aorta
Radiological supervision and interpretation of imaging of artery of one arm or leg
Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck
Ultrasound study of arteries of both arms and legs
Ultrasound study of arteries of both arms and legs
Ultrasound study of arteries and arterial grafts of both legs
Ultrasound study of arteries and arterial grafts of one leg or limited
Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers
Ultrasound scan of vena cava or groin graft or vessel blood flow
Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes
New patient office or other outpatient visit, typically 45 minutes
Established patient office or other outpatient visit, typically 10 minutes
Established patient office or other outpatient visit, typically 15 minutes
Established patient office or other outpatient, visit typically 25 minutes

They took part in Medicare's Electronic Health Record Incentive Program which was designed to help move people over to electronic records and improve the systems that were already in place.
They took part in the Medicare Physician Quality Reporting System (PQRS).

Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.

Payments Total: $19

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 843889409

Being Disputed:: No

Product Related: Yes

Drug or Biological: Device

Product Category #1: Cardiology/Vascular Diseases

Name of Drug #1: ENROUTE .014 Guidewire

Drug or Biological: Device

Product Category #2: Cardiology/Vascular Diseases

Name Of Drug #2:: ENROUTE Transcarotid Stent

Drug or Biological #3:: Device

Product Category #3: Cardiology/Vascular Diseases

Name of Drug: ENHANCE Transcarotid Peripheral Access Kit

Drug or Biological: Device

Product Category #4: Cardiology/Vascular Diseases

Name of Drug #4: ENROUTE Transcarotid Neuroprotection System

Payments Total: $22

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 843889411

Being Disputed:: No

Product Related: Yes

Drug or Biological: Device

Product Category #1: Cardiology/Vascular Diseases

Name of Drug #1: ENHANCE Transcarotid Peripheral Access Kit

Drug or Biological: Device

Product Category #2: Cardiology/Vascular Diseases

Name Of Drug #2:: ENROUTE .014 Guidewire

Drug or Biological #3:: Device

Product Category #3: Cardiology/Vascular Diseases

Name of Drug: ENROUTE Transcarotid Neuroprotection System

Drug or Biological: Device

Product Category #4: Cardiology/Vascular Diseases

Name of Drug #4: ENROUTE Transcarotid Stent

Payments Total: $20

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 843889413

Being Disputed:: No

Product Related: Yes

Drug or Biological: Device

Product Category #1: Cardiology/Vascular Diseases

Name of Drug #1: ENROUTE .014 Guidewire

Drug or Biological: Device

Product Category #2: Cardiology/Vascular Diseases

Name Of Drug #2:: ENROUTE Transcarotid Neuroprotection System

Drug or Biological #3:: Device

Product Category #3: Cardiology/Vascular Diseases

Name of Drug: ENROUTE Transcarotid Stent

Drug or Biological: Device

Product Category #4: Cardiology/Vascular Diseases

Name of Drug #4: ENHANCE Transcarotid Peripheral Access Kit

Payments Total: $14

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 843889455

Being Disputed:: No

Product Related: Yes

Drug or Biological: Device

Product Category #1: Cardiology/Vascular Diseases

Name of Drug #1: ENROUTE Transcarotid Neuroprotection System

Drug or Biological: Device

Product Category #2: Cardiology/Vascular Diseases

Name Of Drug #2:: ENROUTE Transcarotid Stent

Drug or Biological #3:: Device

Product Category #3: Cardiology/Vascular Diseases

Name of Drug: ENROUTE .014 Guidewire

Drug or Biological: Device

Product Category #4: Cardiology/Vascular Diseases

Name of Drug #4: ENHANCE Transcarotid Peripheral Access Kit

Payments Total: $27

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 826702955

Being Disputed:: No

Product Related: Yes

Drug or Biological: Device

Product Category #1: Interventional Access

Name of Drug #1: MANTA Vascular Closure Device

Payments Total: $21

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Context of payment:: Marketed Product is a Biological without a NDC code which caused it to fail validation; therefore, it is submitted as a Medical Supply as a workaround to ensure completeness of data submission.

Record ID:: 842971751

Being Disputed:: No

Product Related: Yes

Drug or Biological: Medical Supply

Product Category #1: Extremities & Limb Restoration

Name of Drug #1: STRAVIX

Payments Total: $33

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 839694365

Being Disputed:: No

Product Related: Yes