Stefan Robert Teitge, MD | |
345 S Halcyon Rd, Arroyo Grande, CA 93420-3896 | |
(805) 489-4261 | |
Not Available |
Full Name | Stefan Robert Teitge |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 345 S Halcyon Rd, Arroyo Grande, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043255391 | NPI | - | NPPES |
00A819670 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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207P00000X | Emergency Medicine | A81967 (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 | Cep America - California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
Mailing Address | Practice Location Address |
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Stefan Robert Teitge, MD 2100 Powell Street, Suite 900, Emeryville, CA 94608-1803 Ph: (510) 350-2600 | Stefan Robert Teitge, MD 345 S Halcyon Rd, Arroyo Grande, CA 93420-3896 Ph: (805) 489-4261 |
Jerilynn Ford Campbell, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 345 South Halcyon Road, Arroyo Grande, CA 93420 Phone: 805-489-4261 | |
Rachel May, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 345 S Halcyon Rd, Arroyo Grande, CA 93420 Phone: 805-489-4261 | |
Wilton Anthony Mcleod, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 345 S Halcyon Rd, Arroyo Grande, CA 93420 Phone: 805-489-4261 | |
Dr. Kenneth Starr, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 107 Nelson St, Arroyo Grande, CA 93420 Phone: 805-242-1360 |