Jacob T Stephenson, MD | |
Building 922, 48th Mdg, Raf Lakenheath, Apo, AE 09464-0030 | |
(916) 734-3510 | |
Not Available |
Full Name | Jacob T Stephenson |
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Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | Building 922, 48th Mdg, Apo, Armed Forces Europe |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265411979 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | 92264 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Regents Of The Univ Of Ca |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457344475 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892 |
Mailing Address | Practice Location Address |
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Jacob T Stephenson, MD Psc 41 Box 2934, Apo, AE 09464-0030 Ph: () - | Jacob T Stephenson, MD Building 922, 48th Mdg, Raf Lakenheath, Apo, AE 09464-0030 Ph: (916) 734-3510 |
Dr. Zia Ahmad Dehqanzada, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: Cmr 442, Box 291, Apo, AE 09042 Phone: 496-221-173440 Fax: 496-221-173427 | |
Dr. Jeremy David Simmons, MD Surgery Medicare: Medicare Enrolled Practice Location: Unit 33100, Apo, AE 09180 Phone: 314-590-8220 | |
Dr. Bradley A Rittenhouse, MD Surgery Medicare: Medicare Enrolled Practice Location: Landstuhl Regional Medical Center, Unit 33100, Apo, AE 09180 Phone: 314-590-8612 | |
Nicole Rachael Laferriere, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: Landstuhl Regional Medical Center, Unit 33100, Apo, AE 09180 Phone: 314-590-5851 | |
Katherine Cameron, MD Surgery Medicare: Medicare Enrolled Practice Location: Landstuhl Regional Medical Center, Unit 33100, Apo, AE 09180 Phone: 314-590-7872 | |
Dr. Mary F Stuever, D.O Surgery Medicare: Accepting Medicare Assignments Practice Location: Unit 33100, Apo, AE 09180 Phone: 317-590-7171 |