Dewayne Edward Niebur, MD | |
7600 Old Dominion Ct, Aptos, CA 95003-3821 | |
(831) 458-6200 | |
Not Available |
Full Name | Dewayne Edward Niebur |
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Gender | Male |
Speciality | Family Medicine |
Location | 7600 Old Dominion Ct, Aptos, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861526469 | NPI | - | NPPES |
04370236 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 37733 (Colorado) | Secondary |
207Q00000X | Family Medicine | C198328 (California) | Primary |
Entity Name | Aspen Medical Care, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154451367 PECOS PAC ID: 3476537911 Enrollment ID: O20040614001328 |
Mailing Address | Practice Location Address |
---|---|
Dewayne Edward Niebur, MD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: () - | Dewayne Edward Niebur, MD 7600 Old Dominion Ct, Aptos, CA 95003-3821 Ph: (831) 458-6200 |
Karen Harrington, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7600 Old Dominion Ct, Aptos, CA 95003 Phone: 831-458-6200 | |
William R Heller, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10098 Soquel Dr, Aptos, CA 95003 Phone: 831-688-3112 | |
Keith Stanfield Rayburn, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9515 Soquel Dr Ste 100, Aptos, CA 95003 Phone: 831-661-6020 Fax: 831-688-1359 | |
Nathan Atkinson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7600 Old Dominion Ct, Aptos, CA 95003 Phone: 831-458-6200 | |
Robert Clark, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7600 Old Dominion Ct, Aptos, CA 95003 Phone: 831-458-6200 Fax: 831-479-6659 | |
Dr. Evans Whitaker, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 620 Bear Valley Rd, Aptos, CA 95003 Phone: 831-688-8906 | |
Mr. Salvatore Fratianni, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 245 Searidge Rd, Aptos, CA 95003 Phone: 831-689-9600 Fax: 831-689-9663 |