Mrs Edythe Woodruff Stewart, MD | |
105 W El Portal Dr Ste B, Merced, CA 95348-2858 | |
(209) 325-4897 | |
Not Available |
Full Name | Mrs Edythe Woodruff Stewart |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 28 Years |
Location | 105 W El Portal Dr Ste B, Merced, 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 |
---|---|---|---|
1497775720 | NPI | - | NPPES |
00A659310 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A65931 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 7800 |
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 | County Of Santa Clara |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659450955 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000757 |
Entity Name | County Of Santa Clara |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
Entity Name | County Of Santa Clara |
---|---|
Entity Type | Part B Supplier - Other Medical Care Group |
Entity Identifiers | NPI Number: 1629301346 PECOS PAC ID: 1254244973 Enrollment ID: O20110318000170 |
Entity Name | Premier Surgical Group Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366068132 PECOS PAC ID: 7012337231 Enrollment ID: O20201008002673 |
Mailing Address | Practice Location Address |
---|---|
Mrs Edythe Woodruff Stewart, MD 105 W El Portal Dr Ste B, Merced, CA 95348-2858 Ph: (209) 325-4897 | Mrs Edythe Woodruff Stewart, MD 105 W El Portal Dr Ste B, Merced, CA 95348-2858 Ph: (209) 325-4897 |
Edward Kip Hensley, MD Surgery Medicare: Medicare Enrolled Practice Location: 411 W 20th St, Merced, CA 95340 Phone: 209-722-8122 Fax: 209-722-9849 | |
Dr. Ibrahim W Azer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 315 Mercy Ave Ste 400, Merced, CA 95340 Phone: 209-564-3700 Fax: 209-564-3799 | |
Gregory Paul Dicarlo, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 411 W 20th Street, Merced, CA 95340 Phone: 209-722-8122 Fax: 209-722-9849 | |
Alfred B Johnson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 240 E 13th St Ste C, Merced, CA 95341 Phone: 209-723-2799 Fax: 209-723-2984 | |
Jennifer Mcevoy, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 315 Mercy Ave, Ste 400, Merced, CA 95340 Phone: 209-564-3700 | |
Kenichi T Miyata, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3393 G St, D, Merced, CA 95340 Phone: 209-230-9065 Fax: 209-349-8511 | |
Adrian Fedele, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 411 W 20th St, Merced, CA 95340 Phone: 209-722-8122 Fax: 209-723-0342 |