Dr Robert Edwin Noll Jr, MD | |
10535 Hospital Way, Surgical Service (112/smat), Mather, CA 95655-4200 | |
(916) 843-9388 | |
Not Available |
Full Name | Dr Robert Edwin Noll Jr |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 10535 Hospital Way, Mather, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275654295 | NPI | - | NPPES |
04009361 | Medicaid | MS | |
1077691 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | C54369 (California) | Secondary |
Entity Name | Sutter Valley Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert Edwin Noll Jr, MD 10535 Hospital Way, Surgical Service (112/smat), Mather, CA 95655-4200 Ph: (916) 843-9388 | Dr Robert Edwin Noll Jr, MD 10535 Hospital Way, Surgical Service (112/smat), Mather, CA 95655-4200 Ph: (916) 843-9388 |
Dr. Scott Alfred Hundahl, M.D. Surgery Medicare: Medicare Enrolled Practice Location: Sacramento Va Medical Center - Chief Of Surgery, 10535 Hospital Way, Smat-112, Mather, CA 95655 Phone: 916-843-7174 Fax: 916-366-5328 | |
Dr. Jon Baker, MD Surgery Medicare: Medicare Enrolled Practice Location: 10535 Hospital Way, Mather, CA 95655 Phone: 916-843-7091 Fax: 916-361-2955 | |
Dr. James Eric Wiedeman, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 10535 Hospital Way, Mather, CA 95655 Phone: 916-843-7222 Fax: 916-366-5475 | |
Nalani L Grace, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 10535 Hospital Way, Mather, CA 95655 Phone: 916-366-5408 | |
Austin Holmes, MD Surgery Medicare: Medicare Enrolled Practice Location: 10535 Hospital Way, Mather, CA 95655 Phone: 916-843-9388 |