| Jeffrey Don Rediger, MD | |
|
405 W College Ave, Santa Rosa, CA 95401-6506 | |
| (707) 525-5300 | |
| Not Available |
| Full Name | Jeffrey Don Rediger |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 29 Years |
| Location | 405 W College Ave, Santa Rosa, 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 |
|---|---|---|---|
| 1871525675 | NPI | - | NPPES |
| J25091 | Other | MA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 159462 (Massachusetts) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | C196265 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Foundation | 8921993205 | 1461 |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871607762 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Don Rediger, MD 405 W College Ave, Santa Rosa, CA 95401-6506 Ph: (707) 525-5300 | Jeffrey Don Rediger, MD 405 W College Ave, Santa Rosa, CA 95401-6506 Ph: (707) 525-5300 |
Dr. Stevan Keram, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1160 N Dutton Ave, Suite 255, Santa Rosa, CA 95401 Phone: 707-526-8800 Fax: 707-526-8886 |
Barry G Pierce, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1260 N Dutton Ave, Santa Rosa, CA 95401 Phone: 707-525-9045 Fax: 707-525-0426 |
Michael Frederick Kozart, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3322 Chanate Rd, Santa Rosa, CA 95404 Phone: 707-565-4970 |
Neil P. Ehrlich, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3322 Chanate Rd., Santa Rosa, CA 95404 Phone: 707-565-4741 |
Dr. James Nicholas Worledge, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3554 Round Barn Blvd, Santa Rosa, CA 95403 Phone: 707-653-3639 |
John F. Cassidy, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 |
Dr. Nandini Lee Rao, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-3778 Fax: 707-571-3799 |