Paul David Heiderscheidt, MD | |
100 Falls Canyon Rd, Avalon, CA 90704-0000 | |
(310) 510-0700 | |
(310) 510-2381 |
Full Name | Paul David Heiderscheidt |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 30 Years |
Location | 100 Falls Canyon Rd, Avalon, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548351927 | NPI | - | NPPES |
150929 | Medicaid | CA | |
XPY190969 | Other | MEDICAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A76682 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Facey Medical Foundation | 3173436276 | 274 |
Entity Name | Providence Facey Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710031588 PECOS PAC ID: 3173436276 Enrollment ID: O20031105000822 |
Entity Name | Exer Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588901532 PECOS PAC ID: 9032359534 Enrollment ID: O20130705000153 |
Mailing Address | Practice Location Address |
---|---|
Paul David Heiderscheidt, MD 762 Brookridge Dr Ne, Atlanta, GA 30306-3617 Ph: (678) 986-6453 | Paul David Heiderscheidt, MD 100 Falls Canyon Rd, Avalon, CA 90704-0000 Ph: (310) 510-0700 |
Dr. Aimee Joanne Warren, D.O. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 100 Falls Canyon Road, Avalon, CA 90704 Phone: 310-510-0700 Fax: 310-510-2938 | |
Edwin T Mcgroarty, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 100 Falls Canyon Road, Avalon, CA 90704 Phone: 310-510-0096 Fax: 310-510-2938 | |
Brian J Kuhn, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Falls Canyon Road, Avalon, CA 90704 Phone: 310-510-0700 Fax: 310-510-2381 |