Maxwell Stephenson, | |
1600 Eureka Road, Medical Office Building C, 4th Floor, Roseville, CA 95661-2200 | |
(916) 474-6590 | |
Not Available |
Full Name | Maxwell Stephenson |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1600 Eureka Road, Roseville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417338401 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A157080 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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 | Regents Of The Univ Of Ca |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892 |
Mailing Address | Practice Location Address |
---|---|
Maxwell Stephenson, 1600 Eureka Road, Medical Office Building C, 4th Floor, Roseville, CA 95661-2200 Ph: (916) 474-6590 | Maxwell Stephenson, 1600 Eureka Road, Medical Office Building C, 4th Floor, Roseville, CA 95661-2200 Ph: (916) 474-6590 |
John Paul Youssry Kelada, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 680 Sunrise Ave, Roseville, CA 95661 Phone: 916-786-4700 Fax: 916-786-3912 | |
Dr. Jennifer Winnie Chou, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
Joseph Regis Quinn, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Plaza Dr, Roseville, CA 95661 Phone: 916-781-1000 | |
Pradeep Johns, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-474-6352 | |
Gregory P. Ouligian, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Plaza Dr, Roseville, CA 95661 Phone: 916-781-1000 | |
Casey Roche, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
Terrence Horan, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 |