| Elisabeth B Lernhardt Md Inc Apc | |
|
11286 Pleasant Valley Rd Penn Valley CA 95946-9413 | |
| (530) 432-1300 | |
| (530) 432-5214 |
| Full Name | Elisabeth B Lernhardt Md Inc Apc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11286 Pleasant Valley Rd, Penn Valley, California |
| Authorized Official Name and Position | Elisabeth Brigitte Lernhardt (OWNER) |
| Authorized Official Contact | 5304321300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elisabeth B Lernhardt Md Inc Apc 11286 Pleasant Valley Rd Penn Valley CA 95946-9413 Ph: (530) 432-1300 | Elisabeth B Lernhardt Md Inc Apc 11286 Pleasant Valley Rd Penn Valley CA 95946-9413 Ph: (530) 432-1300 |
| NPI Number | 1063609725 |
|---|---|
| Provider Enumeration Date | 09/26/2007 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 0547206625 |
|---|---|
| Medicare Enrollment ID | O20100105000685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063609725 | NPI | - | NPPES |
| 00A478471 | Medicaid | CA | |
| A47847 | Other | CA | LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A047847 (California) | Primary |
| Provider Name | Elisabeth B Lernhardt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902879885 PECOS PAC ID: 8921149451 Enrollment ID: I20100728000341 |
Wildwood Medical, A Medical Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11244 Pleasant Valley Rd, Penn Valley, CA 95946 Phone: 530-432-4937 Fax: 530-432-5261 | |
Western Sierra Medical Clinic - Penn Valley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10544 Spenceville Rd, Penn Valley, CA 95946 Phone: 530-273-4984 Fax: 530-273-4573 |