| Stanley C Henjum Ii, MD | |
|
1004 Fowler Way, #4, Placerville, CA 95667-5746 | |
| (530) 626-9488 | |
| Not Available |
| Full Name | Stanley C Henjum Ii |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 41 Years |
| Location | 1004 Fowler Way, Placerville, 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 |
|---|---|---|---|
| 1144200486 | NPI | - | NPPES |
| 00G623920 | Medicaid | CA | |
| 90095380 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | G62392 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marshall Medical Center | Placerville, CA | Hospital |
| Sutter Medical Center, Sacramento | Sacramento, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Marshall Medical Center | 7517875859 | 99 |
| Entity Name | Marshall Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962506097 PECOS PAC ID: 7517875859 Enrollment ID: O20031208001095 |
| Entity Name | Marshall Medical Center |
|---|---|
| Entity Type | Part B Supplier - Intensive Cardiac Rehabilitation |
| Entity Identifiers | NPI Number: 1972503142 PECOS PAC ID: 7517875859 Enrollment ID: O20220428001467 |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley C Henjum Ii, MD Po Box 45680, San Francisco, CA 94145-0680 Ph: (530) 626-9488 | Stanley C Henjum Ii, MD 1004 Fowler Way, #4, Placerville, CA 95667-5746 Ph: (530) 626-9488 |
Saloni Kadakia, DO Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 4327 Golden Center Dr, Placerville, CA 95667 Phone: 530-621-7700 | |
Pritpal S Randhawa, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1100 Marshall Way, Placerville, CA 95667 Phone: 530-626-2787 | |
Dr. Olena Kotova Lineberry, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1004 Fowler Way Ste 4, Placerville, CA 95667 Phone: 530-626-9488 | |
Ketan P Ajudia, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1100 Marshall Way, Placerville, CA 95667 Phone: 530-344-5432 | |
Dr. Mukesh Mungalpara, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1095 Marshall Way, Placerville, CA 95667 Phone: 530-626-2920 | |
Howard Roy Rosen, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1095 Marshall Way, Placerville, CA 95667 Phone: 530-626-2920 |