| Donald J Iverson, MD | |
|
2828 Oneil Lane, Eureka, CA 95503-4870 | |
| (707) 443-9385 | |
| (707) 443-0258 |
| Full Name | Donald J Iverson |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 41 Years |
| Location | 2828 Oneil Lane, Eureka, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356309728 | NPI | - | NPPES |
| 00G608000 | Medicaid | CA | |
| 0165084 | Other | WA | DEPF OF LABOR & INDUSTRIE |
| 130004938 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | G60800 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Hospital | Eureka, CA | Hospital |
| Sutter Coast Hospital | Crescent city, CA | Hospital |
| Mad River Community Hospital | Arcata, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Foundation | 8921993205 | 1329 |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Donald J Iverson, MD 2828 Oneil Lane, Eureka, CA 95503-4870 Ph: (707) 443-9385 | Donald J Iverson, MD 2828 Oneil Lane, Eureka, CA 95503-4870 Ph: (707) 443-9385 |
Jennifer Kathryn Wilson, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 720 Wood St, Eureka, CA 95501 Phone: 707-268-2939 | |
Orm Aniline, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 720 Wood St, Eureka, CA 95501 Phone: 707-268-2900 | |
Paula Maureen Edwalds, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 720 Wood St, Eureka, CA 95501 Phone: 707-268-2900 | |
Dr. Julienne Ong Aulwes, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 720 Wood St, Eureka, CA 95501 Phone: 213-220-3393 | |
Dr. Theodore Donald Utecht, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2180 Chad Ln, Eureka, CA 95503 Phone: 707-362-0292 | |
Dr. Robert E Soper, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 104 W St, Eureka, CA 95501 Phone: 707-445-4705 Fax: 707-445-0581 | |
Christine Skotzko, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 720 Wood St, Eureka, CA 95501 Phone: 707-268-2990 Fax: 707-476-4049 |