| Jennifer L Stewart, MD | |
|
45081 Little Lake St, Mendocino, CA 95460-9998 | |
| (707) 937-1022 | |
| (707) 937-1061 |
| Full Name | Jennifer L Stewart |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 45081 Little Lake St, Mendocino, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982749842 | NPI | - | NPPES |
| 500638275 | Medicaid | OR | |
| 76884350 | Medicaid | CO | |
| P01205782 | Other | OR | MEDICARE RAILROAD |
| P01719258 | Other | CA | RAILROAD MEDICARE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Home Care Services | Fort bragg, CA | Home health agency |
| Adventist Health Mendocino Coast | Fort bragg, CA | Hospital |
| Adventist Health Ukiah Valley | Ukiah, CA | Hospital |
| Adventist Health Howard Memorial | Willits, CA | Hospital |
| Providence Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adventist Health Mendocino Coast | 3678990769 | 57 |
| Entity Name | Adventist Health Mendocino Coast |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538113725 PECOS PAC ID: 3678990769 Enrollment ID: O20220620001667 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L Stewart, MD Po Box 38, Mendocino, CA 95460-0038 Ph: (707) 937-1055 | Jennifer L Stewart, MD 45081 Little Lake St, Mendocino, CA 95460-9998 Ph: (707) 937-1022 |
Dr. Frederick J. Dumas Iii, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 940 Ukiah St., Box 1129, Mendocino, CA 95460 Phone: 707-937-4202 Fax: 707-937-6003 |
Jeffrey Alan Berenson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 45081 Little Lake Street, Mendocino, CA 95460 Phone: 707-937-1055 Fax: 707-937-1061 |