| Dr Stacey Edwin Podkovik, DO | |
|
4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | |
| (323) 660-2450 | |
| Not Available |
| Full Name | Dr Stacey Edwin Podkovik |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 9 Years |
| Location | 4650 W Sunset Blvd, Los Angeles, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215463914 | NPI | - | NPPES |
| 128226900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | OS20696 (Florida) | Secondary |
| 207T00000X | Neurological Surgery | 20A16756 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Joseph Hospital | Eureka, CA | Hospital |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| Entity Name | Orlando Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stacey Edwin Podkovik, DO 3250 Wilshire Blvd Ste 1101, Los Angeles, CA 90010-1513 Ph: (323) 361-3550 | Dr Stacey Edwin Podkovik, DO 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 Ph: (323) 660-2450 |
Dr. Eisha Anne Christian, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1200 N State St, Suite 3300, Los Angeles, CA 90089 Phone: 323-226-7421 Fax: 323-226-7833 |
Ben Strickland, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 N State Street, Suite 3300, Los Angeles, CA 90033 Phone: 803-312-4871 Fax: 323-226-7421 |
Jonathan Sisti, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1520 San Pablo St Ste 3800, Los Angeles, CA 90033 Phone: 323-442-5720 |
Dr. Julian Antony Mattiello, M.D., PH.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 8635 W 3rd St, Suite 1080 West, Los Angeles, CA 90048 Phone: 310-423-9900 |
Dr. John Yu, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd., Los Angeles, CA 90048 Phone: 310-423-7900 Fax: 310-423-0777 |
Alexander George Chartrain, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 8635 W 3rd St Ste 770w, Los Angeles, CA 90048 Phone: 310-423-2129 Fax: 310-248-8596 |
Langston Tyler Holly, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Plz, #200, Los Angeles, CA 90095 Phone: 310-825-5111 |