| Michael Horst Feddersen, DO | |
|
3433 Broadway St, Suite B5, American Canyon, CA 94503-1229 | |
| (707) 561-9005 | |
| Not Available |
| Full Name | Michael Horst Feddersen |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 22 Years |
| Location | 3433 Broadway St, American Canyon, 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 |
|---|---|---|---|
| 1871710160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25MB07893600 (New Jersey) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 20A9585 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alameda Health System | 3779494521 | 531 |
| Entity Name | Alameda Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740332931 PECOS PAC ID: 3779494521 Enrollment ID: O20031110000764 |
| Entity Name | Traditions Psychiatry Group, P.c |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083802979 PECOS PAC ID: 8729984539 Enrollment ID: O20031211000677 |
| Entity Name | Adventist Health St. Helena Ob/gyn |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932176146 PECOS PAC ID: 9234038209 Enrollment ID: O20040108000320 |
| Entity Name | St. Helena Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720078082 PECOS PAC ID: 8729059878 Enrollment ID: O20040803001176 |
| Entity Name | Department Of State Hospitals |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Horst Feddersen, DO 3433 Broadway St, Suite B5, American Canyon, CA 94503-1229 Ph: (707) 561-9005 | Michael Horst Feddersen, DO 3433 Broadway St, Suite B5, American Canyon, CA 94503-1229 Ph: (707) 561-9005 |
Dr. Gerardo Baluyut Manansala, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 30 Marsala Pl, American Canyon, CA 94503 Phone: 707-980-6738 Fax: 707-649-2739 | |
Dr. Diane Joyce Sutton, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 101 W American Canyon Rd # 508-396, American Canyon, CA 94503 Phone: 707-319-1203 Fax: 707-554-2555 |