Dr Walter Sam Mazen Jr, MD | |
1665 Esplanade, Chico, CA 95926-3312 | |
(530) 895-0423 | |
(530) 895-1872 |
Full Name | Dr Walter Sam Mazen Jr |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology - Obstetrics |
Location | 1665 Esplanade, Chico, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649292624 | NPI | - | NPPES |
GROO43570 | Medicaid | CA | |
G45960 | Other | CA | CALIFORNIA STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VX0000X | Obstetrics & Gynecology - Obstetrics | G45960 (California) | Primary |
207VG0400X | Obstetrics & Gynecology - Gynecology | G45960 (California) | Secondary |
Entity Name | Enloe Medical Center |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1023420726 PECOS PAC ID: 9739092388 Enrollment ID: O20141203002585 |
Mailing Address | Practice Location Address |
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Dr Walter Sam Mazen Jr, MD 1665 Esplanade, Chico, CA 95926-3312 Ph: (530) 895-0423 | Dr Walter Sam Mazen Jr, MD 1665 Esplanade, Chico, CA 95926-3312 Ph: (530) 895-0423 |
Dr. Christine Huse Sloop, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 111 Raley Blvd Ste 140, Chico, CA 95928 Phone: 530-342-5776 Fax: 530-898-0178 | |
Melissa Leigh Dawson, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1405 Magnolia Avenue, Suite A, Chico, CA 95926 Phone: 530-332-5080 | |
Dr. Maurice Valcarenghi, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 635 W East Ave, Chico, CA 95926 Phone: 530-343-2024 Fax: 530-343-2088 | |
Dr. Alicia C Taylor, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1665 Esplanade, Chico, CA 95926 Phone: 504-261-9875 | |
Dr. Steven Craig Lazaro, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1665 Esplanade, Chico, CA 95926 Phone: 530-895-0423 Fax: 530-895-1872 | |
Kacie Rounds, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1423 Magnolia Ave, Chico, CA 95926 Phone: 530-332-5010 | |
Marjorie Shelton-gross, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1469 Humboldt Rd, Suite 200, Chico, CA 95928 Phone: 530-891-1917 |