Teresa Lynn Frankovich, MD | |
2200 Tydd St, Eureka, CA 95501 | |
(707) 269-7051 | |
(707) 269-7054 |
Full Name | Teresa Lynn Frankovich |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2200 Tydd St, Eureka, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073609400 | NPI | - | NPPES |
4354140 | Medicaid | MI | |
4301073637 | Other | MI | STATE LICENSE |
700Z745720 | Other | MI | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301073637 (Michigan) | Secondary |
208000000X | Pediatrics | G66089 (California) | Primary |
Entity Name | Open Door Community Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497840656 PECOS PAC ID: 9436067485 Enrollment ID: O20040414000890 |
Mailing Address | Practice Location Address |
---|---|
Teresa Lynn Frankovich, MD 670 9th St Ste 203, Arcata, CA 95521-6249 Ph: (707) 826-8633 | Teresa Lynn Frankovich, MD 2200 Tydd St, Eureka, CA 95501 Ph: (707) 269-7051 |
Dr. Mark Gregory Ellis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2200 Tydd St, Eureka, CA 95501 Phone: 707-269-7051 Fax: 707-269-7054 | |
Dr. Pippa Elayne Coulter, MD, PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2200 Tydd St, Eureka, CA 95501 Phone: 707-269-7051 Fax: 707-269-7054 | |
Lorraine R Byrd, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2200 Tydd St, Eureka, CA 95501 Phone: 707-441-1624 Fax: 707-441-1253 | |
Dr. John James Sullivan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 525 2nd St, #300, Eureka, CA 95501 Phone: 707-445-0893 Fax: 707-444-2563 | |
Laurie S Wirthlin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2800 Harris St, Eureka, CA 95503 Phone: 707-445-8416 Fax: 707-445-4182 | |
Mrs. Emily Lambert Dalton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2800 Harris St, Eureka, CA 95503 Phone: 707-445-8416 Fax: 707-445-4182 |