Stephanie Wyckoff, | |
18035 Brookhurst Street, Suite 2100, Fountain Valley, CA 92708 | |
(657) 241-9090 | |
Not Available |
Full Name | Stephanie Wyckoff |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 27 Years |
Location | 18035 Brookhurst Street, Fountain Valley, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679659080 | NPI | - | NPPES |
00A691490 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VX0000X | Obstetrics & Gynecology - Obstetrics | A69149 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorialcare Medical Foundation | 8729277314 | 384 |
Entity Name | Healthcare Partners Affiliates Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
Entity Name | Memorialcare Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Wyckoff, 17360 Brookhurst St, Attn: Credentialing Department, Fountain Valley, CA 92708-3720 Ph: () - | Stephanie Wyckoff, 18035 Brookhurst Street, Suite 2100, Fountain Valley, CA 92708 Ph: (657) 241-9090 |
Dr. Michael Jordan Vizcarra, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 11180 Warner Ave, Suite 455, Fountain Valley, CA 92708 Phone: 714-556-0536 Fax: 714-435-9640 | |
Dr. William I Han, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 17150 Euclid St Ste 220, Fountain Valley, CA 92708 Phone: 714-444-3030 Fax: 949-419-2515 | |
Dr. Cynthia Arlene Cork, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 11180 Warner Avenue, Suite 455, Fountain Valley, CA 92708 Phone: 714-556-0536 Fax: 714-435-9640 | |
Dr. Kevin Khai Tuan Tieu, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 16543 Brookhurst St, Fountain Valley, CA 92708 Phone: 714-418-9749 Fax: 714-418-1047 | |
Dr. Jamie E Kim, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 18111 Brookhurst St #4450, Fountain Valley, CA 92708 Phone: 714-848-2383 Fax: 714-848-4083 | |
Eleanor Senseney Hawkins, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9940 Talbert Ave, Suite 303, Fountain Valley, CA 92708 Phone: 714-378-5606 Fax: 714-378-5621 | |
Erica Dickson, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 11160 Warner Ave Ste 301, Fountain Valley, CA 92708 Phone: 714-210-5665 Fax: 714-210-0231 |