Walter Stanley Yourchek, MD | |
4553 Quail Lakes Dr, Stockton, CA 95207 | |
(209) 951-1133 | |
(209) 951-4708 |
Full Name | Walter Stanley Yourchek |
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Gender | Male |
Speciality | Dermatology |
Location | 4553 Quail Lakes Dr, Stockton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487683579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | G11189 (California) | Primary |
Entity Name | Stuart I Jacobs M D A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578961843 PECOS PAC ID: 5395062566 Enrollment ID: O20150327000062 |
Mailing Address | Practice Location Address |
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Walter Stanley Yourchek, MD 4553 Quail Lakes Dr, Stockton, CA 95207 Ph: (209) 951-1133 | Walter Stanley Yourchek, MD 4553 Quail Lakes Dr, Stockton, CA 95207 Ph: (209) 951-1133 |
Moses Elam, MD Dermatology Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 | |
Stuart I Jacobs, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5345 N El Dorado St, Ste 12, Stockton, CA 95207 Phone: 209-957-6662 Fax: 209-957-0310 | |
Karen B. Bissell, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 | |
Elizabeth M. Kass, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 | |
Amanzoopinder Samrao, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2166 | |
Gerald N Bock, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1617 St Marks Plaza, C, Stockton, CA 95207 Phone: 209-956-4260 Fax: 209-475-6002 |