Edgar Morris Wayne Ii, MD | |
26800 Crown Valley Pkwy Ste 275, Mission Viejo, CA 92691-6384 | |
(949) 573-9510 | |
(949) 372-3564 |
Full Name | Edgar Morris Wayne Ii |
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Gender | Male |
Speciality | Internal Medicine - Infectious Disease |
Location | 26800 Crown Valley Pkwy Ste 275, Mission Viejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1508026766 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RI0200X | Internal Medicine - Infectious Disease | A103826 (California) | Primary |
Entity Name | Providence Medical Foundation |
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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 |
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Edgar Morris Wayne Ii, MD 26800 Crown Valley Pkwy Ste 275, Mission Viejo, CA 92691-6384 Ph: (949) 573-9510 | Edgar Morris Wayne Ii, MD 26800 Crown Valley Pkwy Ste 275, Mission Viejo, CA 92691-6384 Ph: (949) 573-9510 |
Amy Thu Bui, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 26800 Crown Valley Pkwy, Suite 230, Mission Viejo, CA 92691 Phone: 949-542-8004 Fax: 949-364-3682 | |
Michael Pm Truong, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 26800 Crown Valley Pkwy, Suite 230, Mission Viejo, CA 92691 Phone: 949-364-3330 Fax: 949-364-3682 | |
Erene Nawar Sami, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 26800 Crown Valley Pkwy Ste 485, Mission Viejo, CA 92691 Phone: 949-364-5830 | |
Dr. Paul A Wehrle, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 26800 Crown Valley Pkwy., Suite 100, Mission Viejo, CA 92691 Phone: 949-364-6000 Fax: 949-364-1647 | |
Dr. Brett Michael Wertman, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 27800 Medical Center Rd, Suite 222, Mission Viejo, CA 92691 Phone: 949-276-2446 Fax: 949-276-2449 | |
Dr. Eric Olson Benner, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 26800 Crown Valley Pkwy Ste 315, Mission Viejo, CA 92691 Phone: 949-364-6000 Fax: 949-364-1204 | |
Dr. Richard Jacob, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 26800 Crown Valley Pkwy, Suite 250, Mission Viejo, CA 92691 Phone: 949-364-3570 Fax: 949-364-3430 |