| Terry Winegar Md Inc. | |
|
255 W Washington Ave El Cajon CA 92020-5136 | |
| (619) 444-7454 | |
| (619) 444-4723 |
| Full Name | Terry Winegar Md Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 255 W Washington Ave, El Cajon, California |
| Authorized Official Name and Position | Terry Winegar (MD) |
| Authorized Official Contact | 6194447454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Terry Winegar Md Inc. 255 W Washington Ave El Cajon CA 92020-5136 Ph: (619) 444-7454 | Terry Winegar Md Inc. 255 W Washington Ave El Cajon CA 92020-5136 Ph: (619) 444-7454 |
| NPI Number | 1992260954 |
|---|---|
| Provider Enumeration Date | 02/04/2019 |
| Last Update Date | 02/05/2019 |
| Medicare PECOS PAC ID | 1850639931 |
|---|---|
| Medicare Enrollment ID | O20190214002951 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992260954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 305R00000X | Preferred Provider Organization | (* (Not Available)) | Secondary |
| Provider Name | Terry L Winegar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669406518 PECOS PAC ID: 4981738648 Enrollment ID: I20100817000421 |
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