Glen R Stream, MD | |
45280 Seeley Dr, 3rd Floor E-365, La Quinta, CA 92253-6834 | |
(760) 610-7300 | |
(760) 610-7301 |
Full Name | Glen R Stream |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 45280 Seeley Dr, La Quinta, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265425326 | NPI | - | NPPES |
8506404 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00021005 (Washington) | Secondary |
207Q00000X | Family Medicine | G89420 (California) | Primary |
Entity Name | Providence Health & Services Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453 |
Mailing Address | Practice Location Address |
---|---|
Glen R Stream, MD 45280 Seeley Dr, 3rd Floor, La Quinta, CA 92253-6834 Ph: (760) 610-7300 | Glen R Stream, MD 45280 Seeley Dr, 3rd Floor E-365, La Quinta, CA 92253-6834 Ph: (760) 610-7300 |
Benjamin Mahdi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 45280 Seeley Dr, 2nd Floor, La Quinta, CA 92253 Phone: 760-834-7920 Fax: 760-834-7921 | |
Mrs. Kulwinder Kaur Fayssoux, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 45280 Seeley Dr, 2nd Floor, La Quinta, CA 92253 Phone: 760-834-7920 Fax: 760-834-7921 | |
Dr. Arpee F Yeretzian, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 45280 Seeley Dr, La Quinta, CA 92253 Phone: 760-610-7220 Fax: 760-610-7302 | |
Matthew L Werner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 47250 Washington St, A, La Quinta, CA 92253 Phone: 760-771-9437 Fax: 760-564-8581 | |
Catherine Marie Bianchi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 78150 Calle Tampico Ste 100, La Quinta, CA 92253 Phone: 760-346-1133 | |
Kenneth Douglas Thrasher, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 45280 Seeley Dr, Argyros Health Center, 2nd Floor, La Quinta, CA 92253 Phone: 760-834-7920 Fax: 760-834-7921 | |
Megan Baikie, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 78150 Calle Tampico Ste 100, La Quinta, CA 92253 Phone: 760-423-5253 Fax: 760-423-5269 |