Dr Vina K Swenson, MD | |
1501 S Oregon St, Yreka, CA 96097 | |
(530) 842-2062 | |
(530) 842-2160 |
Full Name | Dr Vina K Swenson |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1501 S Oregon St, Yreka, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447341995 | NPI | - | NPPES |
00A731890 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A73189 (California) | Primary |
Entity Name | Siskiyou Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093892275 PECOS PAC ID: 1254223134 Enrollment ID: O20040927000311 |
Mailing Address | Practice Location Address |
---|---|
Dr Vina K Swenson, MD Po Box 1340, Yreka, CA 96097 Ph: (530) 842-2062 | Dr Vina K Swenson, MD 1501 S Oregon St, Yreka, CA 96097 Ph: (530) 842-2062 |
Dr. David Earl Marriott, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 444 Bruce St, Yreka, CA 96097 Phone: 530-842-4121 | |
Megan Messinger, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 444 Bruce St, Yreka, CA 96097 Phone: 530-842-4121 | |
William F Broeckel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 475 Bruce St, Yreka, CA 96097 Phone: 530-841-4980 Fax: 530-841-4979 |