| Stephen Casey Md Inc | |
|
1555 East St Suite 300 Redding CA 96001-1153 | |
| (530) 243-3288 | |
| (530) 242-8544 |
| Full Name | Stephen Casey Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1555 East St, Redding, California |
| Authorized Official Name and Position | Stephen Casey (PRESIDENT) |
| Authorized Official Contact | 5302433288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Casey Md Inc Po Box 6971 Lincoln NE 68506-0971 Ph: (530) 243-3288 | Stephen Casey Md Inc 1555 East St Suite 300 Redding CA 96001-1153 Ph: (530) 243-3288 |
| NPI Number | 1245559772 |
|---|---|
| Provider Enumeration Date | 05/24/2010 |
| Last Update Date | 01/19/2024 |
| Medicare PECOS PAC ID | 7012031610 |
|---|---|
| Medicare Enrollment ID | O20100903000327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245559772 | NPI | - | NPPES |
| 3290150 | Other | CA | CORPORATE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A75796 (California) | Primary |
| Provider Name | Stephen J Casey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902973480 PECOS PAC ID: 8527958057 Enrollment ID: I20080721000548 |
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