| Dr Stacy J Berrong, DO | |
|
632 W Gibson Rd, Woodland, CA 95695 | |
| (530) 666-1631 | |
| (530) 668-2697 |
| Full Name | Dr Stacy J Berrong |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 632 W Gibson Rd, Woodland, 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 |
|---|---|---|---|
| 1760407787 | NPI | - | NPPES |
| P00745159 | Other | CA | MEDICARE RAILROAD |
| 00AX84320 | Medicaid | CA | |
| 020A84320 | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A8432 (California) | Primary |
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | 20A8432 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Woodland Memorial Hospital | Woodland, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Valley Indian Health Inc | 1557493723 | 34 |
| Entity Name | Northern Valley Indian Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295752384 PECOS PAC ID: 1557493723 Enrollment ID: O20140429000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stacy J Berrong, DO 3400 Data Dr 1st, Rancho Cordova, CA 95670-7956 Ph: (916) 379-2861 | Dr Stacy J Berrong, DO 632 W Gibson Rd, Woodland, CA 95695 Ph: (530) 666-1631 |
Saba Sajid, Family Medicine Medicare: Medicare Enrolled Practice Location: 632 W Gibson Rd, Woodland, CA 95695 Phone: 530-668-2600 | |
Rigoberto Barba, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 608 Cottonwood St, Woodland, CA 95695 Phone: 530-669-1608 Fax: 530-669-1678 | |
Ms. Adriana Santana, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2081 Bronze Star Dr, Woodland, CA 95776 Phone: 530-668-2600 Fax: 530-661-1027 | |
Tan V Nguyen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 Pioneer Ave Ste 400, Woodland, CA 95776 Phone: 530-406-5600 Fax: 916-928-3950 | |
Shasta Nicole Rumminger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2081 Bronze Star Dr, Woodland, CA 95776 Phone: 530-668-2600 Fax: 530-661-1027 | |
Behnam Vahdati Nia, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2081 Bronze Star Dr, Woodland, CA 95776 Phone: 530-668-2600 Fax: 530-661-1027 | |
Anne M Neumann, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2081 Bronze Star Dr, Woodland, CA 95776 Phone: 530-668-2600 Fax: 530-661-1027 |