| Jeffrey Stuart Illeck, MD | |
|
19582 Beach Blvd Ste 202, Huntington Beach, CA 92648-2996 | |
| (714) 841-9899 | |
| (714) 841-2729 |
| Full Name | Jeffrey Stuart Illeck |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 37 Years |
| Location | 19582 Beach Blvd Ste 202, Huntington Beach, 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 |
|---|---|---|---|
| 1013920958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | G067729 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hoag Memorial Hospital Presbyterian | Newport beach, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hoag Clinic | 3274872064 | 347 |
| Entity Name | Magella Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376640086 PECOS PAC ID: 7214827591 Enrollment ID: O20040318001666 |
| Entity Name | Beach Obstetrics & Gynecology Medical Group A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366648594 PECOS PAC ID: 6103001862 Enrollment ID: O20110425000419 |
| Entity Name | Hoag Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942799523 PECOS PAC ID: 3274872064 Enrollment ID: O20190221001936 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Stuart Illeck, MD 19582 Beach Blvd Ste 202, Huntington Beach, CA 92648-2996 Ph: (714) 841-9899 | Jeffrey Stuart Illeck, MD 19582 Beach Blvd Ste 202, Huntington Beach, CA 92648-2996 Ph: (714) 841-9899 |
Dr. Deirdre Allison Habermehl, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 18800 Main St, Ste 204, Huntington Beach, CA 92648 Phone: 949-548-6376 Fax: 866-677-2855 | |
Dr. Johanna Dubyak, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 17742 Beach Blvd, Suite 345, Huntington Beach, CA 92647 Phone: 714-841-9899 Fax: 714-841-2729 | |
Dr. David Ling, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 17692 Beach Blvd, Suite 305, Huntington Beach, CA 92647 Phone: 714-848-5909 | |
Dr. Clifford Lee Ermshar, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 18080 Beach Blvd, Suite 103, Huntington Beach, CA 92648 Phone: 714-442-0586 | |
Dr. Dale Evan Braithwaite, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 17601 De Long Cir, Huntington Beach, CA 92649 Phone: 714-614-1843 | |
Bharat B Marolia, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 17822 Beach Blvd, Suite 473, Huntington Beach, CA 92647 Phone: 714-842-6638 Fax: 714-369-8770 |