Victor Wallenkampf, MD | |
2700 Dolbeer St, Eureka, CA 95501-4736 | |
(707) 269-4250 | |
Not Available |
Full Name | Victor Wallenkampf |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 2700 Dolbeer 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 |
---|---|---|---|
1740242452 | NPI | - | NPPES |
00G822760 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD23323 (Oregon) | Secondary |
207P00000X | Emergency Medicine | G82276 (California) | Primary |
Entity Name | Lower Umpqua Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003874819 PECOS PAC ID: 6800703562 Enrollment ID: O20040212000228 |
Entity Name | Cep America Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780647719 PECOS PAC ID: 6608056171 Enrollment ID: O20130123000079 |
Mailing Address | Practice Location Address |
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Victor Wallenkampf, MD 1726 Spring Hill Lane, Bayside, CA 95524-1461 Ph: (707) 822-6161 | Victor Wallenkampf, MD 2700 Dolbeer St, Eureka, CA 95501-4736 Ph: (707) 269-4250 |
Eric Gerdes, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-269-4250 | |
Paul Windham, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1915 Harrison Ave Ste A, Eureka, CA 95501 Phone: 707-497-6342 Fax: 707-497-6234 | |
Brooke Morrison, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 503-203-0781 | |
Marcelle Mahan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-269-4250 | |
Joseph B. Burkes, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 714 F St, Eureka, CA 95501 Phone: 707-442-5335 Fax: 707-442-1452 | |
Dr. Deonnae Lopez, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-269-4250 | |
Alan Morden, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-445-8121 Fax: 707-269-3753 |