Edward Heneveld, MD | |
10121 Pine Ave, Truckee, CA 96161-4835 | |
(530) 582-3209 | |
(530) 582-3201 |
Full Name | Edward Heneveld |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 10121 Pine Ave, Truckee, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235165861 | NPI | - | NPPES |
00G293190 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G29319 (California) | Primary |
Entity Name | Cep America - California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
Entity Name | California Emergency Physicians Medical Group A Professional Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215365218 PECOS PAC ID: 3274763875 Enrollment ID: O20140227000392 |
Mailing Address | Practice Location Address |
---|---|
Edward Heneveld, MD Po Box 2488, Olympic Valley, CA 96146-2488 Ph: (530) 583-1817 | Edward Heneveld, MD 10121 Pine Ave, Truckee, CA 96161-4835 Ph: (530) 582-3209 |
Austin Meng, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2104 N Village Dr Ste L, Truckee, CA 96161 Phone: 530-582-6594 | |
Dr. Amy Marie Little, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: Tahoe Forest Hospital District, 10121 Pine Ave., Truckee, CA 96161 Phone: 530-582-3219 | |
Casey Thomas Jowers, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10121 Pine Ave, Truckee, CA 96161 Phone: 530-587-6011 | |
Adrian L Delatorre, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10121 Pine Ave, Truckee, CA 96160 Phone: 530-582-3220 Fax: 530-587-6123 | |
Mr. Steven Kent Enright, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10121 Pine Ave, Truckee, CA 96160 Phone: 530-582-3200 Fax: 530-587-6123 | |
Eddie Sperling Mozen, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10121 Pine Ave, Truckee, CA 96160 Phone: 530-582-3200 Fax: 530-587-6123 |