| Stacey S Fine, MD | |
|
2486 N Ponderosa Dr Ste D205, Camarillo, CA 93010-2471 | |
| (805) 419-7780 | |
| (805) 487-1934 |
| Full Name | Stacey S Fine |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 2486 N Ponderosa Dr Ste D205, Camarillo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881818755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | A75365 (California) | Primary |
| 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 | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey S Fine, MD 3400 Data Dr, Attn Credentialing/payer Enrollment, Rancho Cordova, CA 95670-7956 Ph: () - | Stacey S Fine, MD 2486 N Ponderosa Dr Ste D205, Camarillo, CA 93010-2471 Ph: (805) 419-7780 |
Dr. Alan V. Fisher, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5512 Calarosa Ranch Rd, Camarillo, CA 93012 Phone: 650-591-4749 | |
Mr. Gary Swanson, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3901 Las Posas Rd, #100, Camarillo, CA 93010 Phone: 805-484-0479 | |
Cheryl Harris Geer, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 445 Rosewood Ave Ste C, Camarillo, CA 93010 Phone: 805-482-2634 Fax: 805-384-9335 | |
Stephen Carter, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2486 N Ponderosa Dr Ste D202, Camarillo, CA 93010 Phone: 805-482-4641 Fax: 805-388-8751 | |
Maynard Belzer, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2486 N Ponderosa Dr Ste D202, Camarillo, CA 93010 Phone: 805-482-4641 Fax: 805-388-8751 |