Dr Stephen R Dieker Jr, MD | |
2752 Harrison Ave, Suite A, Eureka, CA 95501-4738 | |
(707) 268-0190 | |
(707) 445-3076 |
Full Name | Dr Stephen R Dieker Jr |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 19 Years |
Location | 2752 Harrison Ave, 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 |
---|---|---|---|
1174731004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 2007016507 (Missouri) | Secondary |
207L00000X | Anesthesiology | A116949 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Hospital | Eureka, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Medical Foundation | 8921993205 | 1312 |
Entity Name | Providence Medical Foundation |
---|---|
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 Stephen R Dieker Jr, MD 2752 Harrison Ave, Suite A, Eureka, CA 95501-4738 Ph: (707) 268-0190 | Dr Stephen R Dieker Jr, MD 2752 Harrison Ave, Suite A, Eureka, CA 95501-4738 Ph: (707) 268-0190 |
Dr. Richard Brian Moore, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-442-4848 | |
Dr. Joshua J Bondurant, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2700 Dolbeer Street, St Joseph Hospital, Eureka, CA 95501 Phone: 707-269-4221 | |
Dr. Robert Todd Horseman, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-442-4848 | |
Dr. Susan Lewis Rydz, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2700 Dolbeer St, St. Joseph Hospital, Eureka, CA 95501 Phone: 707-445-8121 | |
Dr. Jeffrey Scott Johnston, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-445-8121 Fax: 707-269-3836 | |
Dennis R Knoernschild, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-445-8121 |