| Manuel Diaz Lewis, DO | |
|
2700 Dolbeer St, Eureka, CA 95501-4799 | |
| (707) 269-4253 | |
| (707) 269-4253 |
| Full Name | Manuel Diaz Lewis |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 8 Years |
| Location | 2700 Dolbeer St, Eureka, 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 |
|---|---|---|---|
| 1932604261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A18972 (California) | Secondary |
| 208M00000X | Hospitalist | DO203809 (Oregon) | Secondary |
| 208M00000X | Hospitalist | 20A18972 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Hospital | Eureka, CA | Hospital |
| Redwood Memorial Hospital | Fortuna, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Foundation | 8921993205 | 1329 |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Manuel Diaz Lewis, DO 1369 Marsh Rd, Eureka, CA 95501-1594 Ph: (605) 391-0030 | Manuel Diaz Lewis, DO 2700 Dolbeer St, Eureka, CA 95501-4799 Ph: (707) 269-4253 |
Gerald Stewart Buntin, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-269-4253 Fax: 707-269-3802 | |
Wahidullah Wahidullah, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: St Joseph Hospital - Eureka, 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-445-8121 |