Office Of Michael Staszel, D.o P.a. | |
822 Pine St Mount Shasta CA 96067-2137 | |
(530) 926-5261 | |
(530) 926-1077 |
Full Name | Office Of Michael Staszel, D.o P.a. |
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Speciality | Clinic/Center |
Location | 822 Pine St, Mount Shasta, California |
Authorized Official Name and Position | Michael Z Staszel (OWNER) |
Authorized Official Contact | 5309265261 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Office Of Michael Staszel, D.o P.a. 822 Pine St Mount Shasta CA 96067-2137 Ph: (530) 926-5261 | Office Of Michael Staszel, D.o P.a. 822 Pine St Mount Shasta CA 96067-2137 Ph: (530) 926-5261 |
NPI Number | 1396209086 |
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Provider Enumeration Date | 01/26/2019 |
Last Update Date | 03/31/2020 |
Medicare PECOS PAC ID | 5092056465 |
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Medicare Enrollment ID | O20190411002285 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396209086 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Michael Z Staszel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417917766 PECOS PAC ID: 0648227454 Enrollment ID: I20050404001144 |
Shasta Cascade Health Centers- Mt Shasta Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 824 Pine St, Mount Shasta, CA 96067 Phone: 530-926-4528 | |
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