| Dr Amanda Leeann Etheridge, MD | |
|
11234 Anderson St, Loma Linda, CA 92354 | |
| (618) 599-9904 | |
| Not Available |
| Full Name | Dr Amanda Leeann Etheridge |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 11 Years |
| Location | 11234 Anderson St, Loma Linda, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699156943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 145435 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wyoming Medical Center | Casper, WY | Hospital |
| Sagewest Health Care | Riverton, WY | Hospital |
| Memorial Hospital Of Converse County | Douglas, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sound Physicians Of Wyoming Llc | 8325214828 | 43 |
| Entity Name | Sound Physicians Of Wyoming, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982982708 PECOS PAC ID: 8325214828 Enrollment ID: O20120105000078 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Amanda Leeann Etheridge, MD 1498 Brookside Ave, Apt A-103, Redlands, CA 92373-4454 Ph: (618) 599-9904 | Dr Amanda Leeann Etheridge, MD 11234 Anderson St, Loma Linda, CA 92354 Ph: (618) 599-9904 |
Petru Papacostea, Internal Medicine Medicare: Medicare Enrolled Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Dr. Moosa Azadian, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4085 | |
Douglas Wang, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson Street, Gme Office Westerly Suite C, Loma Linda, CA 92354 Phone: 909-558-4174 | |
Shahab Sean Shahangian, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 818-532-8211 | |
Golda Marcell Harvatin, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4000 | |
Mst Nurjahan Khatun, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 11234 Anderson St # C, Loma Linda, CA 92354 Phone: 408-355-8650 | |
Snorri Olafsson, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 11370 Anderson St, Ste 3150, Loma Linda, CA 92354 Phone: 909-558-2191 |