| Everett Patrick Shareck Jr, | |
|
1133 W Sycamore Street, Willows, CA 95988 | |
| (530) 934-1800 | |
| (530) 934-1865 |
| Full Name | Everett Patrick Shareck Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 47 Years |
| Location | 1133 W Sycamore Street, Willows, 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 |
|---|---|---|---|
| 1497791404 | NPI | - | NPPES |
| 00G405090 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | G40509 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Coalinga Regional Medical Center | Coalinga, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Specialty Physicians Group Inc | 6103198460 | 99 |
| Entity Name | Glenn Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1336187178 PECOS PAC ID: 3870505035 Enrollment ID: O20070705000269 |
| Entity Name | American Specialty Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568992923 PECOS PAC ID: 6103198460 Enrollment ID: O20170821003230 |
| Mailing Address | Practice Location Address |
|---|---|
| Everett Patrick Shareck Jr, Po Box 8117, Red Bluff, CA 96080 Ph: (530) 529-1306 | Everett Patrick Shareck Jr, 1133 W Sycamore Street, Willows, CA 95988 Ph: (530) 934-1800 |
Dr. Gary M Carson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1133 W Sycamore Street, Willows, CA 95988 Phone: 530-934-1800 Fax: 530-934-1865 |
Dr. Marc Steven Bracy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1133 W Sycamore Street, Willows, CA 95988 Phone: 530-934-1800 Fax: 530-934-1865 |