Dr Stacy J Berrong, DO | |
632 W Gibson Rd, Woodland, CA 95695 | |
(530) 666-1631 | |
(530) 668-2697 |
Full Name | Dr Stacy J Berrong |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 632 W Gibson Rd, Woodland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760407787 | NPI | - | NPPES |
P00745159 | Other | CA | MEDICARE RAILROAD |
00AX84320 | Medicaid | CA | |
020A84320 | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A8432 (California) | Primary |
207VX0000X | Obstetrics & Gynecology - Obstetrics | 20A8432 (California) | Secondary |
Entity Name | Dignity Health Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
Mailing Address | Practice Location Address |
---|---|
Dr Stacy J Berrong, DO 3400 Data Dr 1st, Rancho Cordova, CA 95670-7956 Ph: (916) 379-2861 | Dr Stacy J Berrong, DO 632 W Gibson Rd, Woodland, CA 95695 Ph: (530) 666-1631 |
Saba Sajid, Family Medicine Medicare: Medicare Enrolled Practice Location: 632 W Gibson Rd, Woodland, CA 95695 Phone: 530-668-2600 | |
Rigoberto Barba, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 608 Cottonwood St, Woodland, CA 95695 Phone: 530-669-1608 Fax: 530-669-1678 | |
Ms. Adriana Santana, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2081 Bronze Star Dr, Woodland, CA 95776 Phone: 530-668-2600 Fax: 530-661-1027 | |
Tan V Nguyen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 Pioneer Ave Ste 400, Woodland, CA 95776 Phone: 530-406-5600 Fax: 916-928-3950 | |
Shasta Nicole Rumminger, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2081 Bronze Star Dr, Woodland, CA 95776 Phone: 530-668-2600 Fax: 530-661-1027 | |
Behnam Vahdati Nia, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2081 Bronze Star Dr, Woodland, CA 95776 Phone: 530-668-2600 Fax: 530-661-1027 | |
Anne M Neumann, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2081 Bronze Star Dr, Woodland, CA 95776 Phone: 530-668-2600 Fax: 530-661-1027 |