Dr Sarah Michelle Lee Stack, MD | |
106 La Casa Via Ste 220, Walnut Creek, CA 94598-3012 | |
(650) 497-8000 | |
Not Available |
Full Name | Dr Sarah Michelle Lee Stack |
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Gender | Female |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 106 La Casa Via Ste 220, Walnut Creek, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437473097 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | MD60652463 (Washington) | Secondary |
2080P0202X | Pediatrics - Pediatric Cardiology | A162678 (California) | Primary |
Entity Name | Lpch Medical Group Div Of Lucile |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
Mailing Address | Practice Location Address |
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Dr Sarah Michelle Lee Stack, MD 106 La Casa Via Ste 220, Walnut Creek, CA 94598-3012 Ph: (650) 497-8000 | Dr Sarah Michelle Lee Stack, MD 106 La Casa Via Ste 220, Walnut Creek, CA 94598-3012 Ph: (650) 497-8000 |
Bradley William Zerweck, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Jmmc 3-east, 1601 Ygnacio Valley Road, Walnut Creek, CA 94598 Phone: 925-941-5270 | |
Cathy C. Dugan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 | |
Dr. Marc S Usatin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 440 Bridge Rd, Walnut Creek, CA 94595 Phone: 925-209-0100 | |
Rahul K. Parikh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 | |
Krisha Nayak, MD, MPH Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 | |
Dr. Kathleen Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1450 Treat Blvd, Suite 140, Walnut Creek, CA 94597 Phone: 925-296-9770 Fax: 925-296-9092 | |
Dr. Tessie A Okamura, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1450 Treat Blvd, Suite 140, Walnut Creek, CA 94597 Phone: 925-296-9770 Fax: 925-296-9092 |