| Stefan Robert Teitge, MD | |
|
345 S Halcyon Rd, Arroyo Grande, CA 93420-3896 | |
| (805) 489-4261 | |
| Not Available |
| Full Name | Stefan Robert Teitge |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 345 S Halcyon Rd, Arroyo Grande, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043255391 | NPI | - | NPPES |
| 00A819670 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A81967 (California) | Primary |
| 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 | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
| Mailing Address | Practice Location Address |
|---|---|
| Stefan Robert Teitge, MD 2100 Powell Street, Suite 900, Emeryville, CA 94608-1803 Ph: (510) 350-2600 | Stefan Robert Teitge, MD 345 S Halcyon Rd, Arroyo Grande, CA 93420-3896 Ph: (805) 489-4261 |
Jerilynn Ford Campbell, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 345 South Halcyon Road, Arroyo Grande, CA 93420 Phone: 805-489-4261 | |
Rachel May, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 345 S Halcyon Rd, Arroyo Grande, CA 93420 Phone: 805-489-4261 | |
Wilton Anthony Mcleod, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 345 S Halcyon Rd, Arroyo Grande, CA 93420 Phone: 805-489-4261 | |
Dr. Kenneth Starr, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 107 Nelson St, Arroyo Grande, CA 93420 Phone: 805-242-1360 |