| Maxwell Stephenson, | |
|
1600 Eureka Road, Medical Office Building C, 4th Floor, Roseville, CA 95661-2200 | |
| (916) 474-6590 | |
| Not Available |
| Full Name | Maxwell Stephenson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1600 Eureka Road, Roseville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417338401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A157080 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Regents Of The Univ Of Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892 |
| Mailing Address | Practice Location Address |
|---|---|
| Maxwell Stephenson, 1600 Eureka Road, Medical Office Building C, 4th Floor, Roseville, CA 95661-2200 Ph: (916) 474-6590 | Maxwell Stephenson, 1600 Eureka Road, Medical Office Building C, 4th Floor, Roseville, CA 95661-2200 Ph: (916) 474-6590 |
John Paul Youssry Kelada, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 680 Sunrise Ave, Roseville, CA 95661 Phone: 916-786-4700 Fax: 916-786-3912 | |
Dr. Jennifer Winnie Chou, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
Joseph Regis Quinn, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Plaza Dr, Roseville, CA 95661 Phone: 916-781-1000 | |
Dr. Phong Anh Huynh, M.D., M.P.H. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
Pradeep Johns, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-474-6352 | |
Gregory P. Ouligian, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Plaza Dr, Roseville, CA 95661 Phone: 916-781-1000 | |
Casey Roche, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 |