Stephen Anderson, MD | |
18300 Us Highway 18, Apple Valley, CA 92307-2206 | |
(760) 242-2311 | |
Not Available |
Full Name | Stephen Anderson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 18300 Us Highway 18, Apple Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659554194 | NPI | - | NPPES |
00A816890 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A81689 (California) | Secondary |
207P00000X | Emergency Medicine | ME154012 (Florida) | Primary |
Entity Name | Southeastern Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
Entity Name | App Of East Tennessee Ed Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326695537 PECOS PAC ID: 6800127796 Enrollment ID: O20191007003318 |
Mailing Address | Practice Location Address |
---|---|
Stephen Anderson, MD 2100 Powell St, Ste 900, Emeryville, CA 94608-1826 Ph: (510) 350-2664 | Stephen Anderson, MD 18300 Us Highway 18, Apple Valley, CA 92307-2206 Ph: (760) 242-2311 |
Alexander Sang-hyun Lee, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18300 Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311 | |
Timothy Grant Mcnaughton, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18300 Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311 | |
Eugene Wen-chun Hu, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18300 Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311 | |
Todd Anthone Larson, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18300 Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311 | |
Jose Benavidez Bueno, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 19273 Kanbridge St, Apple Valley, CA 92308 Phone: 760-912-1613 | |
R. David Kovacik, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18300 Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311 | |
Daniel Lumucso Quion, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18300 Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311 |