| Statera Health | |
|
222 E Olive Ave Ste 5 Redlands CA 92373-5268 | |
| (909) 283-4213 | |
| (909) 738-4213 |
| Full Name | Statera Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 222 E Olive Ave Ste 5, Redlands, California |
| Authorized Official Name and Position | Megan Anderson (PRESIDENT) |
| Authorized Official Contact | 9092834213 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Statera Health 222 E Olive Ave Ste 5 Redlands CA 92373-5268 Ph: (909) 283-4213 | Statera Health 222 E Olive Ave Ste 5 Redlands CA 92373-5268 Ph: (909) 283-4213 |
| NPI Number | 1811604135 |
|---|---|
| Provider Enumeration Date | 11/07/2022 |
| Last Update Date | 04/03/2024 |
| Certification Date | 04/03/2024 |
| Medicare PECOS PAC ID | 4082089586 |
|---|---|
| Medicare Enrollment ID | O20230415000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811604135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Megan Lynnell Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528442977 PECOS PAC ID: 1456667005 Enrollment ID: I20150827003012 |
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