Dr Robert E Soper, MD | |
104 W St, Eureka, CA 95501-0834 | |
(707) 445-4705 | |
(707) 445-0581 |
Full Name | Dr Robert E Soper |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 43 Years |
Location | 104 W St, Eureka, 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 |
---|---|---|---|
1215065362 | NPI | - | NPPES |
G59380 | Other | CA | MEDICAL BOARD |
9534922 | Other | CA | MEDI-CAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | G59380 (California) | Primary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | G59380 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Hospital | Eureka, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Soper Family Psychiatry Medical Group | 2365850112 | 3 |
Entity Name | Soper Family Psychiatry Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699158634 PECOS PAC ID: 2365850112 Enrollment ID: O20210416001148 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert E Soper, MD 104 W St, Eureka, CA 95501-0834 Ph: (707) 445-4705 | Dr Robert E Soper, MD 104 W St, Eureka, CA 95501-0834 Ph: (707) 445-4705 |
Jennifer Kathryn Wilson, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 720 Wood St, Eureka, CA 95501 Phone: 707-268-2939 | |
Orm Aniline, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 720 Wood St, Eureka, CA 95501 Phone: 707-268-2900 | |
Paula Maureen Edwalds, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 720 Wood St, Eureka, CA 95501 Phone: 707-268-2900 | |
Dr. Michael L Wolk, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 720 Wood St, Eureka, CA 95501 Phone: 707-268-2900 | |
Dr. Julienne Ong Aulwes, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 720 Wood St, Eureka, CA 95501 Phone: 213-220-3393 | |
Dr. Theodore Donald Utecht, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2180 Chad Ln, Eureka, CA 95503 Phone: 707-362-0292 |