Dr Edwin Alphonse Lichwa Ii, DO | |
500 Jefferson Blvd Ste B180, West Sacramento, CA 95605-2394 | |
(916) 375-6400 | |
Not Available |
Full Name | Dr Edwin Alphonse Lichwa Ii |
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Gender | Male |
Speciality | General Practice |
Experience | 32 Years |
Location | 500 Jefferson Blvd Ste B180, West Sacramento, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104856012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A6985 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Community Medical Centers, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588729180 PECOS PAC ID: 8426968520 Enrollment ID: O20101027000870 |
Mailing Address | Practice Location Address |
---|---|
Dr Edwin Alphonse Lichwa Ii, DO 612 Snapdragon St, Winters, CA 95694-1680 Ph: (530) 795-0958 | Dr Edwin Alphonse Lichwa Ii, DO 500 Jefferson Blvd Ste B180, West Sacramento, CA 95605-2394 Ph: (916) 375-6400 |
Dr. Olga Marat, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 500 Jefferson Blvd, West Sacramento, CA 95605 Phone: 916-403-2900 | |
Mr. Marc L. Concepcion, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2101 Stone Blvd. Suite 190, West Sacramento, CA 95691 Phone: 916-371-4939 Fax: 916-371-2996 | |
Alicja Correll, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2101 Stone Blvd Ste 190, West Sacramento, CA 95691 Phone: 916-371-4939 | |
Dr. Maria Elena Fuentes, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 813 Harbor Blvd # 300, West Sacramento, CA 95691 Phone: 916-682-1088 | |
Sorren Lindstrom, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 B Jefferson Boulevard, Suites #180 & #195, West Sacramento, CA 95605 Phone: 916-403-2900 Fax: 530-204-5248 | |
Abhinandan Kumar Bhagat, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1276 Halyard Dr, West Sacramento, CA 95691 Phone: 916-454-2345 |