| Dr Matthew Joseph Barulich Iii, MD | |
|
2170 South Ave, South Lake Tahoe, CA 96150-7026 | |
| (775) 882-8487 | |
| (775) 882-8487 |
| Full Name | Dr Matthew Joseph Barulich Iii |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 2170 South Ave, South Lake Tahoe, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891784203 | NPI | - | NPPES |
| 160055464 | Other | MEDICARE RAILROAD | |
| 002013051 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 5413 (Nevada) | Secondary |
| 207V00000X | Obstetrics & Gynecology | A40451 (California) | Primary |
| Entity Name | William Bee Ririe Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487648804 PECOS PAC ID: 9335051747 Enrollment ID: O20031104000372 |
| Entity Name | William Bee Ririe Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1487648804 PECOS PAC ID: 9335051747 Enrollment ID: O20071129000326 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Joseph Barulich Iii, MD Po Box 2046, Carson City, NV 89702-2046 Ph: (775) 882-8487 | Dr Matthew Joseph Barulich Iii, MD 2170 South Ave, South Lake Tahoe, CA 96150-7026 Ph: (775) 882-8487 |
Danielle Theresa Field, NP Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1139 3rd St, South Lake Tahoe, CA 96150 Phone: 530-543-5711 | |
Dr. Mary Kelly Shanahan, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1154 Emerald Bay Rd, South Lake Tahoe, CA 96150 Phone: 530-542-4961 Fax: 530-542-4964 | |
Megan F Jewell, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2175 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5711 Fax: 530-544-2503 | |
Dr. Amanda Stevens Weavil, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2175 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5711 Fax: 530-544-2503 | |
Dr. Clare Elizabeth Rudolph, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2175 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5711 Fax: 530-544-2503 |