| Dr Robert E Soper, MD | |
|
104 W St, Eureka, CA 95501-0834 | |
| (707) 445-4705 | |
| (707) 445-0581 |
| Full Name | Dr Robert E Soper |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 45 Years |
| Location | 104 W St, 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 |
|---|---|---|---|
| 1215065362 | NPI | - | NPPES |
| G59380 | Other | CA | MEDICAL BOARD |
| 9534922 | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G59380 (California) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | G59380 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Hospital | Eureka, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Soper Family Psychiatry Medical Group | 2365850112 | 3 |
| Entity Name | Soper Family Psychiatry Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699158634 PECOS PAC ID: 2365850112 Enrollment ID: O20210416001148 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert E Soper, MD 104 W St, Eureka, CA 95501-0834 Ph: (707) 445-4705 | Dr Robert E Soper, MD 104 W St, Eureka, CA 95501-0834 Ph: (707) 445-4705 |
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 | |
Christine Skotzko, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 720 Wood St, Eureka, CA 95501 Phone: 707-268-2990 Fax: 707-476-4049 |