| Mary Ann H Trephan, MD | |
|
18300 Roscoe Blvd, Northridge, CA 91328 | |
| (818) 885-8500 | |
| Not Available |
| Full Name | Mary Ann H Trephan |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 33 Years |
| Location | 18300 Roscoe Blvd, Northridge, 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 |
|---|---|---|---|
| 1891752614 | NPI | - | NPPES |
| 00G850400 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | G85040 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Exer Medical Corporation | 9032359534 | 313 |
| Entity Name | Providence Facey Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710031588 PECOS PAC ID: 3173436276 Enrollment ID: O20031105000822 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Exer Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588901532 PECOS PAC ID: 9032359534 Enrollment ID: O20130705000153 |
| Entity Name | Ridgeline Emergency Physicians Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972953230 PECOS PAC ID: 0345521613 Enrollment ID: O20161228000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ann H Trephan, MD Po Box 4675, Thousand Oaks, CA 91359-1675 Ph: () - | Mary Ann H Trephan, MD 18300 Roscoe Blvd, Northridge, CA 91328 Ph: (818) 885-8500 |
Vineeta C Keswani, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10242 Reseda Blvd, Northridge, CA 91324 Phone: 818-626-9552 Fax: 818-626-9569 | |
Matthew P Beatty, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18300 Roscoe Blvd, Northridge, CA 91328 Phone: 818-885-8500 | |
Steven L Cole, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 18300 Roscoe Blvd, Northridge, CA 91328 Phone: 818-885-8500 | |
Boris Viadamir Lubavin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8510 Balboa Blvd, Ste 150, Northridge, CA 91325 Phone: 888-988-2800 | |
Gabriel Henry Campion, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-8500 | |
Shannon M Mcfarland, PA Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18300 Roscoe Blvd, Northridge, CA 91328 Phone: 818-885-8500 | |
Alfred M Pascual, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18300 Roscoe Blvd, Northridge, CA 91328 Phone: 818-885-8500 |