Dr Melanie R Spencer-wolf, DO | |
11 Technology Dr, Irvine, CA 92618-2302 | |
(855) 206-6764 | |
(949) 923-3575 |
Full Name | Dr Melanie R Spencer-wolf |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 11 Technology Dr, Irvine, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508847971 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 20A8332 (California) | Secondary |
207R00000X | Internal Medicine | 20A8332 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Dr Melanie R Spencer-wolf, DO 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 Ph: (949) 364-1400 | Dr Melanie R Spencer-wolf, DO 11 Technology Dr, Irvine, CA 92618-2302 Ph: (855) 206-6764 |
Akbar Nassiry, M.D., M.P.H. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Barranca Parkway, Ste. 250, Irvine, CA 92604 Phone: 949-577-0047 Fax: 909-635-6085 | |
Omid Vesal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Alton Parkway, Suite 101, Irvine, CA 92606 Phone: 949-222-2722 Fax: 949-222-9969 | |
Dr. Maria Teresa Corpin Agner, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 11 Technology Dr, Irvine, CA 92618 Phone: 855-206-6764 Fax: 949-923-3575 | |
Dr. Susan Davoodifar, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4199 Campus Dr, Suite 550, Irvine, CA 92612 Phone: 949-509-6503 Fax: 949-326-0103 | |
Randa Serag, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4708 Barranca Pkwy, Irvine, CA 92604 Phone: 949-791-3101 Fax: 949-791-3112 | |
Tara E Seery, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 16105 Sand Canyon Ave Ste 230, Irvine, CA 92618 Phone: 949-764-5347 Fax: 949-557-0221 | |
Nadir Yusaf Qazi, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 113 Waterworks Way Ste 105, Irvine, CA 92618 Phone: 949-336-7293 |